| Scrc Dana Point Llc | |
|
34249 Camino Capistrano # 201 Capo Beach CA 92624-1156 | |
| (949) 359-5669 | |
| Not Available |
| Full Name | Scrc Dana Point Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 34249 Camino Capistrano # 201, Capo Beach, California |
| Authorized Official Name and Position | Matthew Lee (ADMINISTRATOR) |
| Authorized Official Contact | 6199878078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scrc Dana Point Llc 34249 Camino Capistrano # 101 Capo Beach CA 92624-1156 Ph: () - | Scrc Dana Point Llc 34249 Camino Capistrano # 201 Capo Beach CA 92624-1156 Ph: (949) 359-5669 |
| NPI Number | 1437872645 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437872645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
So Cal Psychology Services Apc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34249 Camino Capistrano Ste 101, Capo Beach, CA 92624 Phone: 949-542-3874 Fax: 949-484-7021 |