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2677 N Main St Ste 110 Santa Ana CA 92705-6663 | |
| (714) 274-7577 | |
| (714) 274-7578 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2677 N Main St Ste 110, Santa Ana, California |
| Authorized Official Name and Position | Paul Kim (CEO) |
| Authorized Official Contact | 7142747573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2677 N Main St Ste 130 Santa Ana CA 92705-6665 Ph: (714) 274-7577 | 2677 N Main St Ste 110 Santa Ana CA 92705-6663 Ph: (714) 274-7577 |
| NPI Number | 1205368941 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205368941 | NPI | - | NPPES |
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