| Chrysalis Psychiatry | |
|
27555 Ynez Rd Ste 410 Temecula CA 92591-4679 | |
| (951) 553-3767 | |
| Not Available |
| Full Name | Chrysalis Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 27555 Ynez Rd Ste 410, Temecula, California |
| Authorized Official Name and Position | Sandra Kay Cox (PRESIDENT) |
| Authorized Official Contact | 9515533767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Psychiatry 31808 Green Oak Way Temecula CA 92592-4120 Ph: (951) 553-3767 | Chrysalis Psychiatry 27555 Ynez Rd Ste 410 Temecula CA 92591-4679 Ph: (951) 553-3767 |
| NPI Number | 1750978698 |
|---|---|
| Provider Enumeration Date | 12/27/2020 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Medicare PECOS PAC ID | 6406245836 |
|---|---|
| Medicare Enrollment ID | O20211105000694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750978698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Tolulope T Adedayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235690397 PECOS PAC ID: 5991030751 Enrollment ID: I20190716002159 |
| Provider Name | Sandra K Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730135971 PECOS PAC ID: 2163489246 Enrollment ID: I20201022004257 |
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