Park Family Therapy & Associates, A California Mft Corp | |
19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 | |
(949) 891-5336 | |
Not Available |
Full Name | Park Family Therapy & Associates, A California Mft Corp |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 19712 Macarthur Blvd Ste 110, Irvine, California |
Authorized Official Name and Position | Jennifer Park (SUPERVISOR) |
Authorized Official Contact | 9498915336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Park Family Therapy & Associates, A California Mft Corp 5319 University Dr Ste 457 Irvine CA 92612-2965 Ph: () - | Park Family Therapy & Associates, A California Mft Corp 19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 Ph: (949) 891-5336 |
NPI Number | 1730847286 |
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Provider Enumeration Date | 12/01/2021 |
Last Update Date | 11/13/2024 |
Certification Date | 11/13/2024 |
Identifier | Type | State | Issuer |
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1730847286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Regents Of University Of California Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19262 Jamboree Rd, Irvine, CA 92612 Phone: 949-824-2343 Fax: 949-824-8737 | |
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