| Robert E Record Phd A Psychological Corporation | |
|
875 N Brea Blvd Brea CA 92821-2606 | |
| (714) 904-0679 | |
| Not Available |
| Full Name | Robert E Record Phd A Psychological Corporation |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | 875 N Brea Blvd, Brea, California |
| Authorized Official Name and Position | Robert E Record (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7149040679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Record Phd A Psychological Corporation Po Box 2189 Yorba Linda CA 92885-1389 Ph: (714) 904-0679 | Robert E Record Phd A Psychological Corporation 875 N Brea Blvd Brea CA 92821-2606 Ph: (714) 904-0679 |
| NPI Number | 1790023240 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 01/04/2016 |
| Medicare PECOS PAC ID | 8426340431 |
|---|---|
| Medicare Enrollment ID | O20160712002746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790023240 | NPI | - | NPPES |
| Provider Name | Robert E Record |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629312368 PECOS PAC ID: 9234383944 Enrollment ID: I20130205000505 |
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