| Regents Of The University Of Claifornia Univ Neursciences | |
|
101 The City Dr S Orange CA 92868 | |
| (714) 456-8068 | |
| (714) 456-3765 |
| Full Name | Regents Of The University Of Claifornia Univ Neursciences |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 The City Dr S, Orange, California |
| Authorized Official Name and Position | Uci Health Provider Relations (UPS PROVIDER RELATIONS) |
| Authorized Official Contact | 7144562986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Of The University Of Claifornia Univ Neursciences Po Box 31001-2450 Pasadena CA 91110-2450 Ph: () - | Regents Of The University Of Claifornia Univ Neursciences 101 The City Dr S Orange CA 92868 Ph: (714) 456-8068 |
| NPI Number | 1205884210 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 05/07/2019 |
| Medicare PECOS PAC ID | 2769476357 |
|---|---|
| Medicare Enrollment ID | O20040414001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205884210 | NPI | - | NPPES |
| CS4851 | Other | CA | RAILROAD MEDICARE GROUP |
| ZZZ18123Z | Other | CA | BLUE SHIELD GROUP # |
| GR0040280 | Other | CA | MEDI-CAL GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | David A Gehret |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497774947 PECOS PAC ID: 7517867500 Enrollment ID: I20040113000747 |
| Provider Name | David King Stephens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700973633 PECOS PAC ID: 4688567688 Enrollment ID: I20040204000405 |
| Provider Name | Luis A Chui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134210842 PECOS PAC ID: 8022004431 Enrollment ID: I20040421001721 |
| Provider Name | Jack J Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649383381 PECOS PAC ID: 6507844313 Enrollment ID: I20040708001432 |
| Provider Name | Wengui Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225104193 PECOS PAC ID: 2860472750 Enrollment ID: I20040721001523 |
| Provider Name | Dale V Distefano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902822968 PECOS PAC ID: 9436172970 Enrollment ID: I20060113000956 |
| Provider Name | Steven Schreiber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164537593 PECOS PAC ID: 4789789652 Enrollment ID: I20070420000568 |
| Provider Name | Surasak Phuphanich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457469074 PECOS PAC ID: 3274446489 Enrollment ID: I20070423000577 |
| Provider Name | Steven C Cramer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477633568 PECOS PAC ID: 9638276264 Enrollment ID: I20070516000342 |
| Provider Name | Dan Fu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386747210 PECOS PAC ID: 1951400118 Enrollment ID: I20070628000553 |
| Provider Name | Annabel K Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831169143 PECOS PAC ID: 2860581006 Enrollment ID: I20071211000324 |
| Provider Name | Daniela A Bota |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942499884 PECOS PAC ID: 2365532322 Enrollment ID: I20071214000511 |
| Provider Name | Shirisha R Janumpally |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215128020 PECOS PAC ID: 2365523040 Enrollment ID: I20080118000692 |
| Provider Name | Grace Wen-hwa Kao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205934312 PECOS PAC ID: 5698835437 Enrollment ID: I20081124000285 |
| Provider Name | John H Weiss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467546721 PECOS PAC ID: 4385706662 Enrollment ID: I20081219000499 |
| Provider Name | Dhiraj Raj Jeyanandarajan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154547719 PECOS PAC ID: 4486716388 Enrollment ID: I20081231000524 |
| Provider Name | David Swope |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538193800 PECOS PAC ID: 7618031352 Enrollment ID: I20090126000311 |
| Provider Name | Joon Wha Myung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518997030 PECOS PAC ID: 3476618521 Enrollment ID: I20090224000547 |
| Provider Name | Jose A Carrillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902006661 PECOS PAC ID: 8921145384 Enrollment ID: I20091017000039 |
| Provider Name | Tahseen Mozaffar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356421515 PECOS PAC ID: 6709912744 Enrollment ID: I20100330000409 |
| Provider Name | Lilit Mnatsakanyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811159197 PECOS PAC ID: 1557492584 Enrollment ID: I20100708000183 |
| Provider Name | Leonid I Groysman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104076785 PECOS PAC ID: 1052443652 Enrollment ID: I20100717000053 |
| Provider Name | Mark J Fisher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225132814 PECOS PAC ID: 9739173329 Enrollment ID: I20101005000245 |
| Provider Name | Mona Sazgar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215909486 PECOS PAC ID: 0042285744 Enrollment ID: I20101129000764 |
| Provider Name | Gaby T Thai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366547689 PECOS PAC ID: 9234326463 Enrollment ID: I20101214000275 |
| Provider Name | Michael Demetriou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992885099 PECOS PAC ID: 6709074511 Enrollment ID: I20101221000561 |
| Provider Name | Aimee L Pierce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043484801 PECOS PAC ID: 9133398498 Enrollment ID: I20110803000513 |
| Provider Name | Hermelinda Abcede |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891956678 PECOS PAC ID: 3577732601 Enrollment ID: I20110808000155 |
| Provider Name | An Hong Do |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295913614 PECOS PAC ID: 3072784487 Enrollment ID: I20110915000254 |
| Provider Name | Mitchell F Brin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740307552 PECOS PAC ID: 8820265416 Enrollment ID: I20120123000569 |
| Provider Name | Xiao-tang Kong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861639114 PECOS PAC ID: 8123282118 Enrollment ID: I20120601000330 |
| Provider Name | Cyrus K Dastur |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336325828 PECOS PAC ID: 7214069079 Enrollment ID: I20120606000518 |
| Provider Name | Yama Akbari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275794034 PECOS PAC ID: 8325202112 Enrollment ID: I20120606000689 |
| Provider Name | Namita A Goyal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336116904 PECOS PAC ID: 4082610464 Enrollment ID: I20121004000285 |
| Provider Name | Ardith M Courtney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295763746 PECOS PAC ID: 6709956360 Enrollment ID: I20130429000240 |
| Provider Name | Indranil Sen-gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235391418 PECOS PAC ID: 1052559309 Enrollment ID: I20130529000295 |
| Provider Name | Yoon Jae Choi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821229584 PECOS PAC ID: 3971742958 Enrollment ID: I20130624000527 |
| Provider Name | Nicolas M Phielipp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578986949 PECOS PAC ID: 1850521477 Enrollment ID: I20140227001035 |
| Provider Name | Anna E Morenkova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710204466 PECOS PAC ID: 1153546312 Enrollment ID: I20140701001078 |
| Provider Name | Tiyonnoh Monje Cash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114053550 PECOS PAC ID: 6608091723 Enrollment ID: I20140703002049 |
| Provider Name | Ali Razmara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366670515 PECOS PAC ID: 1052572971 Enrollment ID: I20141003000344 |
| Provider Name | Omer R Khayali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275898702 PECOS PAC ID: 7416178363 Enrollment ID: I20141020000089 |
| Provider Name | Timothy Obrien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275924557 PECOS PAC ID: 7719206945 Enrollment ID: I20150508002098 |
| Provider Name | Chuang K Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184661837 PECOS PAC ID: 9739199860 Enrollment ID: I20150615002531 |
| Provider Name | Michael Y Sy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376835629 PECOS PAC ID: 4981915782 Enrollment ID: I20150619002372 |
| Provider Name | Sara Stern-nezer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629368386 PECOS PAC ID: 9931414505 Enrollment ID: I20150812007441 |
| Provider Name | Andrew W Schnure |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962762294 PECOS PAC ID: 2062738065 Enrollment ID: I20160505001072 |
| Provider Name | Seyed A Sajjadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750733325 PECOS PAC ID: 4880987734 Enrollment ID: I20160729000886 |
| Provider Name | Olivia Sungjin Kim Mcmanus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174870067 PECOS PAC ID: 8123311966 Enrollment ID: I20160801001739 |
| Provider Name | Seyed Mohammad Shafie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184806572 PECOS PAC ID: 5193031078 Enrollment ID: I20160815001342 |
| Provider Name | Katherine G Denny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730633587 PECOS PAC ID: 6305133059 Enrollment ID: I20160922002206 |
| Provider Name | Michael G Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669715009 PECOS PAC ID: 8820304009 Enrollment ID: I20170508001494 |
| Provider Name | Duc M Vu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821431479 PECOS PAC ID: 8022324482 Enrollment ID: I20170628003159 |
| Provider Name | Haley C Blackwill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811446214 PECOS PAC ID: 8729359062 Enrollment ID: I20170804003136 |
| Provider Name | Ali A Habib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518124288 PECOS PAC ID: 8527247998 Enrollment ID: I20170912000075 |
| Provider Name | Jay Shah |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1841589926 PECOS PAC ID: 2567761711 Enrollment ID: I20170914002182 |
| Provider Name | Manisha Kak Korb |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1235494089 PECOS PAC ID: 6406158286 Enrollment ID: I20170918001935 |
| Provider Name | Xiaoying Lu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306136726 PECOS PAC ID: 2163798646 Enrollment ID: I20171027002407 |
| Provider Name | Alexander Jacob Sweidan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689070161 PECOS PAC ID: 4183981293 Enrollment ID: I20171128001795 |
| Provider Name | Mark Mapstone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760597223 PECOS PAC ID: 0941493910 Enrollment ID: I20180124001039 |
| Provider Name | Erica O Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295246056 PECOS PAC ID: 2668735358 Enrollment ID: I20180411000399 |
| Provider Name | Pawan K Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588003131 PECOS PAC ID: 3274773189 Enrollment ID: I20180515001979 |
| Provider Name | Ryan Fillmore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184043283 PECOS PAC ID: 2567684863 Enrollment ID: I20180622001314 |
| Provider Name | Hayley B. Kristinsson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023500493 PECOS PAC ID: 0042566507 Enrollment ID: I20180713000668 |
| Provider Name | Sarita Said-said |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922449453 PECOS PAC ID: 4082988506 Enrollment ID: I20181012001068 |
| Provider Name | Jonathan Cauchi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831507649 PECOS PAC ID: 2264774728 Enrollment ID: I20190611003588 |
| Provider Name | Keith T Cochran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508252651 PECOS PAC ID: 7517239601 Enrollment ID: I20190612001828 |
| Provider Name | Sahar Hamidy Osman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033599469 PECOS PAC ID: 1759620693 Enrollment ID: I20190614000921 |
| Provider Name | Andrew Jay Bierman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306408505 PECOS PAC ID: 4789911710 Enrollment ID: I20190813002703 |
| Provider Name | Sanaz Attaripour-isfahani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821438805 PECOS PAC ID: 2466783048 Enrollment ID: I20191011002397 |
| Provider Name | Alejandra Garland Becerra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902226822 PECOS PAC ID: 0042643314 Enrollment ID: I20191129000104 |
| Provider Name | Robert Todd Riggio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952751331 PECOS PAC ID: 0345535670 Enrollment ID: I20200529002029 |
| Provider Name | Mia Deborah Lee Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689917494 PECOS PAC ID: 1850714726 Enrollment ID: I20200710000959 |
| Provider Name | Steven Neema Seyedin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134513450 PECOS PAC ID: 6800106097 Enrollment ID: I20200727002798 |
| Provider Name | Dan Zhao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306257472 PECOS PAC ID: 9032534276 Enrollment ID: I20200804003113 |
| Provider Name | Daniel Ilchoong Ro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942521075 PECOS PAC ID: 4385939701 Enrollment ID: I20201029001694 |
| Provider Name | Jeffrey Mullen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447614276 PECOS PAC ID: 1557694627 Enrollment ID: I20201120000431 |
| Provider Name | Claire Henchcliffe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730276825 PECOS PAC ID: 9436339058 Enrollment ID: I20201214002256 |
| Provider Name | Scott George Turner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346416575 PECOS PAC ID: 0648438010 Enrollment ID: I20210115000454 |
| Provider Name | Brian D Hitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225449796 PECOS PAC ID: 4688919152 Enrollment ID: I20210624002393 |
| Provider Name | Kurt Yuqin Qing |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659806610 PECOS PAC ID: 6800135021 Enrollment ID: I20210804002161 |
| Provider Name | Jerica Monique Lomax |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619401031 PECOS PAC ID: 5698048163 Enrollment ID: I20211028003000 |
| Provider Name | Sahar Sheikhbahaei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023464153 PECOS PAC ID: 2264760834 Enrollment ID: I20211104001970 |
| Provider Name | Michelle Brianna Mcdonnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770248809 PECOS PAC ID: 1850781410 Enrollment ID: I20211223001417 |
| Provider Name | Masaki Nagamine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144751660 PECOS PAC ID: 7517290257 Enrollment ID: I20220207000495 |
| Provider Name | Ravi Rajmohan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972008670 PECOS PAC ID: 1254718307 Enrollment ID: I20220511002588 |
| Provider Name | Khalid Alrasheed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215510797 PECOS PAC ID: 4587068887 Enrollment ID: I20220513000325 |
| Provider Name | Janetta Lorenza Arellano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700318763 PECOS PAC ID: 1355729542 Enrollment ID: I20220531001023 |
| Provider Name | Walter Wallace Valesky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790925329 PECOS PAC ID: 3274789078 Enrollment ID: I20220607001666 |
| Provider Name | Patrick Ming Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295198000 PECOS PAC ID: 2961796677 Enrollment ID: I20220613001332 |
| Provider Name | Changrui Xiao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962815795 PECOS PAC ID: 5991929978 Enrollment ID: I20220616001411 |
| Provider Name | Crystal Jean Jicha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447784566 PECOS PAC ID: 5799025599 Enrollment ID: I20220714003899 |
| Provider Name | Carlen A Yuen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508210535 PECOS PAC ID: 4284925496 Enrollment ID: I20220914002059 |
| Provider Name | Michael Anthony Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760976070 PECOS PAC ID: 9931585445 Enrollment ID: I20221006003597 |
| Provider Name | Melanie Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922721489 PECOS PAC ID: 2163808460 Enrollment ID: I20221010000974 |
| Provider Name | Ali Ezzati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649617333 PECOS PAC ID: 2860733417 Enrollment ID: I20230410001531 |
| Provider Name | Brian Chang Jung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467983957 PECOS PAC ID: 7214270859 Enrollment ID: I20230510002090 |
| Provider Name | Sonja Manal Darwish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316599004 PECOS PAC ID: 5597121780 Enrollment ID: I20230512001784 |
| Provider Name | Karen Eva Halldorsdottir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669964540 PECOS PAC ID: 1951656537 Enrollment ID: I20230531000822 |
| Provider Name | Anastasia Petrovna Chumakova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881155638 PECOS PAC ID: 1759748619 Enrollment ID: I20230710002905 |
Oc Progressive Recovery Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Stewart Dr, Er Department, Orange, CA 92868 Phone: 714-633-9111 | |
Healing Space Therapy, Licensed Clinical Social Worker Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 W Chapman Ave Ste 207, Orange, CA 92868 Phone: 562-285-3509 | |
Neurovana Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 W Chapman Ave Ste 209, Orange, CA 92868 Phone: 714-696-8835 | |
Amhs Cat Orange Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 W Metropolitan Dr Ste 401, Orange, CA 92868 Phone: 866-830-6011 Fax: 714-954-2986 | |
K Himasiri De Silva Md Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 W La Veta Avenue, Orange, CA 92868 Phone: 714-532-6811 Fax: 714-532-5487 | |
Canyon Acres Children And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 W Orangewood Ave, Suite 304, Orange, CA 92868 Phone: 714-393-9400 | |
Premier Behavioral Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 City Pkwy W Ste 400, Orange, CA 92868 Phone: 714-908-5645 Fax: 714-908-7257 |