| Mark Lum Psychological Services | |
|
1801 E Heim Ave Suite 204 Orange CA 92865-3020 | |
| (714) 282-9713 | |
| (714) 282-8016 |
| Full Name | Mark Lum Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1801 E Heim Ave, Orange, California |
| Authorized Official Name and Position | Mark Stephen Lum (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9497139846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Lum Psychological Services 1801 E Heim Ave Suite 204 Orange CA 92865-3020 Ph: (714) 282-9713 | Mark Lum Psychological Services 1801 E Heim Ave Suite 204 Orange CA 92865-3020 Ph: (714) 282-9713 |
| NPI Number | 1992986616 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992986616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY13344 (California) | Primary |
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