| Psychological Behavioral Health Inc. | |
|
1500 Palma Dr Fl 2 Ventura CA 93003-6451 | |
| (805) 626-0325 | |
| (888) 958-5269 |
| Full Name | Psychological Behavioral Health Inc. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1500 Palma Dr Fl 2, Ventura, California |
| Authorized Official Name and Position | Alfredo Bimbela (OWNER/CEO) |
| Authorized Official Contact | 8052841783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Behavioral Health Inc. 1500 Palma Dr Fl 2 Ventura CA 93003-6451 Ph: (805) 626-0325 | Psychological Behavioral Health Inc. 1500 Palma Dr Fl 2 Ventura CA 93003-6451 Ph: (805) 626-0325 |
| NPI Number | 1154954303 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 05/24/2021 |
| Certification Date | 05/24/2021 |
| Medicare PECOS PAC ID | 6204272271 |
|---|---|
| Medicare Enrollment ID | O20240313000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154954303 | NPI | - | NPPES |
| Provider Name | Alfredo Bimbela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982746749 PECOS PAC ID: 6901061142 Enrollment ID: I20160628000980 |
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