Megaspan Inc. | |
2672 Bayshore Pkwy Suite 602 Mountain View CA 94043 | |
(650) 856-3045 | |
Not Available |
Full Name | Megaspan Inc. |
---|---|
Speciality | Psychologist - Clinical |
Location | 2672 Bayshore Pkwy, Mountain View, California |
Authorized Official Name and Position | Dalia Shiran (CO-OWNER) |
Authorized Official Contact | 6508563045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Megaspan Inc. 744 Seminole Way Palo Alto CA 94303-4722 Ph: (650) 856-3045 | Megaspan Inc. 2672 Bayshore Pkwy Suite 602 Mountain View CA 94043 Ph: (650) 856-3045 |
NPI Number | 1205053873 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205053873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY14463 (California) | Primary |
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