| Portview Preparatory, Inc. | |
|
1361 Valencia Ave Tustin CA 92780-6459 | |
| (714) 463-6390 | |
| Not Available |
| Full Name | Portview Preparatory, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1361 Valencia Ave, Tustin, California |
| Authorized Official Name and Position | Edward Miguel (CEO) |
| Authorized Official Contact | 7144636390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portview Preparatory, Inc. 1361 Valencia Ave Tustin CA 92780-6459 Ph: (714) 463-6390 | Portview Preparatory, Inc. 1361 Valencia Ave Tustin CA 92780-6459 Ph: (714) 463-6390 |
| NPI Number | 1992385793 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992385793 | NPI | - | NPPES |
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