| Lido Wellness Center | |
|
3404 Via Lido Newport Beach CA 92663-3968 | |
| (949) 633-2821 | |
| Not Available |
| Full Name | Lido Wellness Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3404 Via Lido, Newport Beach, California |
| Authorized Official Name and Position | Collin Weeden (CEO) |
| Authorized Official Contact | 9496332821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lido Wellness Center 3419 Via Lido # 313 Newport Beach CA 92663-3908 Ph: (949) 633-2821 | Lido Wellness Center 3404 Via Lido Newport Beach CA 92663-3968 Ph: (949) 633-2821 |
| NPI Number | 1477056166 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 03/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477056166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (California) | Primary |
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