| Modern Psychiatric Group | |
|
19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 | |
| (949) 688-6079 | |
| (949) 688-6079 |
| Full Name | Modern Psychiatric Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 19712 Macarthur Blvd Ste 110, Irvine, California |
| Authorized Official Name and Position | Andrew Lampley (CEO) |
| Authorized Official Contact | 9496886079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Psychiatric Group 19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 Ph: (949) 688-6079 | Modern Psychiatric Group 19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 Ph: (949) 688-6079 |
| NPI Number | 1154102895 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/22/2023 |
| Certification Date | 10/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154102895 | NPI | - | NPPES |
| 1801384045 | Other | CA | PSYCHIATRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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