| Positive Recovery Center | |
|
17291 Irvine Blvd Ste 104 Tustin CA 92780-2929 | |
| (714) 730-0505 | |
| (714) 730-0113 |
| Full Name | Positive Recovery Center |
|---|---|
| Speciality | Psychologist |
| Location | 17291 Irvine Blvd Ste 104, Tustin, California |
| Authorized Official Name and Position | Ana M Cordova (MANAGER) |
| Authorized Official Contact | 7147300505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Recovery Center 17291 Irvine Blvd Ste 104 Tustin CA 92780-2929 Ph: (714) 730-0505 | Positive Recovery Center 17291 Irvine Blvd Ste 104 Tustin CA 92780-2929 Ph: (714) 730-0505 |
| NPI Number | 1467720243 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 12/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467720243 | NPI | - | NPPES |
| PSY6949 | Other | CA | BLUE CROSS/BLUE SHIELD PPO |
| PSY6949 | Other | CA | PRIVATE |
| PSY6949 | Other | CA | WORKERS COMPENSATION |
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