Nolan R Ung Md Inc | |
727 West Rd La Habra Heights CA 90631-8055 | |
(909) 936-2631 | |
(949) 502-8887 |
Full Name | Nolan R Ung Md Inc |
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Speciality | Clinic/Center |
Location | 727 West Rd, La Habra Heights, California |
Authorized Official Name and Position | Nolan R Ung (CEO/MD) |
Authorized Official Contact | 9099362631 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nolan R Ung Md Inc 2371 Grand Ave Unit 90093 Long Beach CA 90809-6003 Ph: (909) 936-2631 | Nolan R Ung Md Inc 727 West Rd La Habra Heights CA 90631-8055 Ph: (909) 936-2631 |
NPI Number | 1659144640 |
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Provider Enumeration Date | 11/01/2023 |
Last Update Date | 11/01/2023 |
Certification Date | 11/01/2023 |
Medicare PECOS PAC ID | 7113363953 |
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Medicare Enrollment ID | O20240314002796 |
Identifier | Type | State | Issuer |
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1659144640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Nolan Ryan Ung |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861989766 PECOS PAC ID: 8022454867 Enrollment ID: I20240314002924 |
Windrose Behavior Directions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Virazon Drive, La Habra Heights, CA 90631 Phone: 562-743-0701 Fax: 562-691-0701 |