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4019 Westerly Pl Ste 102 Newport Beach CA 92660-2333 | |
| (714) 540-9070 | |
| (714) 884-4347 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4019 Westerly Pl Ste 102, Newport Beach, California |
| Authorized Official Name and Position | David Welch (DIRECTOR) |
| Authorized Official Contact | 7145409070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4019 Westerly Pl Ste 102 Newport Beach CA 92660-2333 Ph: (714) 540-9070 | 4019 Westerly Pl Ste 102 Newport Beach CA 92660-2333 Ph: (714) 540-9070 |
| NPI Number | 1013314699 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013314699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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