Oc Psychological Services | |
4199 Campus Dr Suite #550 Irvine CA 92612-4684 | |
(949) 509-6542 | |
Not Available |
Full Name | Oc Psychological Services |
---|---|
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 4199 Campus Dr, Irvine, California |
Authorized Official Name and Position | Behzad Izadi (TREASURER) |
Authorized Official Contact | 7148013354 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oc Psychological Services 4199 Campus Dr # 550 Irvine CA 92612-4684 Ph: (949) 509-6542 | Oc Psychological Services 4199 Campus Dr Suite #550 Irvine CA 92612-4684 Ph: (949) 509-6542 |
NPI Number | 1649529850 |
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Provider Enumeration Date | 09/04/2012 |
Last Update Date | 09/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649529850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | PSY 17273 (California) | Primary |
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