| Shrinks Corner Inc | |
|
27611 La Paz Rd Ste A6 Laguna Niguel CA 92677-3999 | |
| (949) 403-7288 | |
| Not Available |
| Full Name | Shrinks Corner Inc |
|---|---|
| Speciality | Social Worker |
| Location | 27611 La Paz Rd Ste A6, Laguna Niguel, California |
| Authorized Official Name and Position | Alexandria Bekele (PRESIDENT, CEO) |
| Authorized Official Contact | 9494037288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shrinks Corner Inc 350 Forest Ave Unit 654 Laguna Beach CA 92652-2029 Ph: (949) 403-7288 | Shrinks Corner Inc 27611 La Paz Rd Ste A6 Laguna Niguel CA 92677-3999 Ph: (949) 403-7288 |
| NPI Number | 1932986486 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 0840640033 |
|---|---|
| Medicare Enrollment ID | O20240220000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932986486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Esteban Juarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851790968 PECOS PAC ID: 1759731946 Enrollment ID: I20240307004215 |
| Provider Name | Tarron Phillips |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093198442 PECOS PAC ID: 6901244086 Enrollment ID: I20240409002269 |
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