Newport Psychology | |
23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660 | |
(949) 887-2007 | |
Not Available |
Full Name | Newport Psychology |
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Speciality | Clinical Neuropsychologist |
Location | 23 Corporate Plaza Dr Ste 150, Newport Beach, California |
Authorized Official Name and Position | Eileen Paniagua (PRESIDENT) |
Authorized Official Contact | 9498872007 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Newport Psychology 23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660-7908 Ph: (949) 887-2007 | Newport Psychology 23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660 Ph: (949) 887-2007 |
NPI Number | 1932621216 |
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Provider Enumeration Date | 07/08/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 0042573636 |
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Medicare Enrollment ID | O20180412001945 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932621216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 26906 (California) | Primary |
Provider Name | Eileen Paniagua |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1760775704 PECOS PAC ID: 5496061087 Enrollment ID: I20150827000718 |
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