| Richard Recor, Inc | |
|
7700 Irvine Center Dr Ste 800 Irvine CA 92618-3047 | |
| (949) 720-0167 | |
| Not Available |
| Full Name | Richard Recor, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 7700 Irvine Center Dr Ste 800, Irvine, California |
| Authorized Official Name and Position | Richard Duane Recor (PSYCHOLOGIST) |
| Authorized Official Contact | 9497200167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Recor, Inc 7700 Irvine Center Dr Ste 800 Irvine CA 92618-3047 Ph: (949) 720-0167 | Richard Recor, Inc 7700 Irvine Center Dr Ste 800 Irvine CA 92618-3047 Ph: (949) 720-0167 |
| NPI Number | 1306979190 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Medicare PECOS PAC ID | 6204875735 |
|---|---|
| Medicare Enrollment ID | O20050425001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306979190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Richard D Recor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457359812 PECOS PAC ID: 4587603766 Enrollment ID: I20050428001291 |
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