| Oc Psychological Counseling, P.c. | |
|
18430 Brookhurst St Suite 202h Fountain Valley CA 92708-6726 | |
| (714) 271-9236 | |
| Not Available |
| Full Name | Oc Psychological Counseling, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 18430 Brookhurst St, Fountain Valley, California |
| Authorized Official Name and Position | Tonja Duvardo (PRESIDENT) |
| Authorized Official Contact | 7142719236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Psychological Counseling, P.c. 18430 Brookhurst St Suite 202h Fountain Valley CA 92708-6726 Ph: (714) 271-9236 | Oc Psychological Counseling, P.c. 18430 Brookhurst St Suite 202h Fountain Valley CA 92708-6726 Ph: (714) 271-9236 |
| NPI Number | 1578916847 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 07/21/2016 |
| Medicare PECOS PAC ID | 0840583712 |
|---|---|
| Medicare Enrollment ID | O20160729001418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578916847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY15770 (California) | Primary |
| Provider Name | Tonja A Duvardo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518903939 PECOS PAC ID: 3072738632 Enrollment ID: I20140715002684 |
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