| Momentous Health Inc | |
|
2040 Shoreline Loop Apt 239 San Ramon CA 94582-5513 | |
| (800) 679-1730 | |
| Not Available |
| Full Name | Momentous Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2040 Shoreline Loop Apt 239, San Ramon, California |
| Authorized Official Name and Position | Lily Lau (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 8006791730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentous Health Inc 2040 Shoreline Loop Apt 239 San Ramon CA 94582-5513 Ph: () - | Momentous Health Inc 2040 Shoreline Loop Apt 239 San Ramon CA 94582-5513 Ph: (800) 679-1730 |
| NPI Number | 1154000578 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 4082060330 |
|---|---|
| Medicare Enrollment ID | O20231024001026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154000578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Diane Hoang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235723347 PECOS PAC ID: 8527437565 Enrollment ID: I20221213002416 |
| Provider Name | Lily Lau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255857546 PECOS PAC ID: 2961858220 Enrollment ID: I20231026001065 |
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