| Marina Telepsychiatry | |
|
299 12th St Marina CA 93933-6003 | |
| (831) 647-7652 | |
| Not Available |
| Full Name | Marina Telepsychiatry |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 299 12th St, Marina, California |
| Authorized Official Name and Position | John Semo (MRT) |
| Authorized Official Contact | 8317554545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Telepsychiatry 299 12th St Marina CA 93933-6003 Ph: () - | Marina Telepsychiatry 299 12th St Marina CA 93933-6003 Ph: (831) 647-7652 |
| NPI Number | 1760846893 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760846893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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