| |
4000 Macarthur Blvd Suite 600, East Tower Newport Beach CA 92660-2558 | |
(949) 648-3704 | |
(714) 352-6471 |
Full Name | |
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Speciality | Psychologist - Clinical Child & Adolescent |
Location | 4000 Macarthur Blvd, Newport Beach, California |
Authorized Official Name and Position | Oscar Oo (PRESIDENT) |
Authorized Official Contact | 9496483704 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4000 Macarthur Blvd Suite 600, East Tower Newport Beach CA 92660-2558 Ph: (949) 648-3704 | 4000 Macarthur Blvd Suite 600, East Tower Newport Beach CA 92660-2558 Ph: (949) 648-3704 |
NPI Number | 1174069439 |
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Provider Enumeration Date | 01/11/2017 |
Last Update Date | 12/03/2017 |
Identifier | Type | State | Issuer |
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1174069439 | NPI | - | NPPES |
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