| Newport Psychology | |
|
23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660 | |
| (949) 887-2007 | |
| Not Available |
| Full Name | Newport Psychology |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/08/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0042573636 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760775704 PECOS PAC ID: 5496061087 Enrollment ID: I20150827000718 |
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