| Lindy Lay, D.o., P.c. | |
|
151 Kalmus Dr Costa Mesa CA 92626-5988 | |
| (702) 857-8800 | |
| Not Available |
| Full Name | Lindy Lay, D.o., P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 151 Kalmus Dr, Costa Mesa, California |
| Authorized Official Name and Position | Lindy Lay (OWNER) |
| Authorized Official Contact | 7028578800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindy Lay, D.o., P.c. 3321 N Buffalo Dr Las Vegas NV 89129-6678 Ph: (702) 857-8800 | Lindy Lay, D.o., P.c. 151 Kalmus Dr Costa Mesa CA 92626-5988 Ph: (702) 857-8800 |
| NPI Number | 1144909474 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Medicare PECOS PAC ID | 4587026281 |
|---|---|
| Medicare Enrollment ID | O20230811002640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144909474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Erin Lindsey Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528695558 PECOS PAC ID: 3173918885 Enrollment ID: I20220316001050 |
| Provider Name | Christopher Chigbolu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841372463 PECOS PAC ID: 8628463791 Enrollment ID: I20220328002315 |
| Provider Name | Joan C Njoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265140222 PECOS PAC ID: 3173981610 Enrollment ID: I20230615001805 |
| Provider Name | Lindy Lay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285074559 PECOS PAC ID: 2163743998 Enrollment ID: I20230927002046 |
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