Socal Therapists Psychological Services P.c | |
2102 Business Center Dr Irvine CA 92612-1001 | |
(714) 486-4669 | |
Not Available |
Full Name | Socal Therapists Psychological Services P.c |
---|---|
Speciality | Psychologist |
Location | 2102 Business Center Dr, Irvine, California |
Authorized Official Name and Position | Elham Abouhamzeh (PRESIDENT) |
Authorized Official Contact | 7144864669 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Socal Therapists Psychological Services P.c 2102 Business Center Dr Irvine CA 92612-1001 Ph: (714) 486-4669 | Socal Therapists Psychological Services P.c 2102 Business Center Dr Irvine CA 92612-1001 Ph: (714) 486-4669 |
NPI Number | 1619531944 |
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Provider Enumeration Date | 04/22/2019 |
Last Update Date | 05/08/2021 |
Certification Date | 05/08/2021 |
Medicare PECOS PAC ID | 6305178955 |
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Medicare Enrollment ID | O20191031000100 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619531944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Elham Abouhamzeh |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386092880 PECOS PAC ID: 7315230901 Enrollment ID: I20160719002378 |
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