| Riverside Ets | |
|
233 S Quintana Dr Anaheim CA 92807-4029 | |
| (714) 988-9822 | |
| Not Available |
| Full Name | Riverside Ets |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 233 S Quintana Dr, Anaheim, California |
| Authorized Official Name and Position | Scott Osborn (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5105200943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Ets 8945 Golf Links Rd Oakland CA 94605-4124 Ph: (510) 317-4444 | Riverside Ets 233 S Quintana Dr Anaheim CA 92807-4029 Ph: (714) 988-9822 |
| NPI Number | 1942588728 |
|---|---|
| Provider Enumeration Date | 07/28/2011 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942588728 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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