| Mission Prep Healthcare | |
|
430 Silver Spur Rd Ste 202 Rancho Palos Verdes CA 90275-3571 | |
| (424) 328-5480 | |
| (949) 579-2876 |
| Full Name | Mission Prep Healthcare |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 430 Silver Spur Rd Ste 202, Rancho Palos Verdes, California |
| Authorized Official Name and Position | Jeffrey Farbman (DIRECTOR OF BILLING) |
| Authorized Official Contact | 9494249921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Prep Healthcare 30310 Rancho Viejo Rd San Juan Capistrano CA 92675-1576 Ph: (424) 328-5480 | Mission Prep Healthcare 430 Silver Spur Rd Ste 202 Rancho Palos Verdes CA 90275-3571 Ph: (424) 328-5480 |
| NPI Number | 1730869454 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730869454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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