| Southern California Psychiatric Group, Inc | |
|
28125 Bradley Rd Ste 220 Sun City CA 92586 | |
| (951) 309-2140 | |
| (951) 309-2141 |
| Full Name | Southern California Psychiatric Group, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 28125 Bradley Rd Ste 220, Sun City, California |
| Authorized Official Name and Position | Bhuvaneswari Nallamothu (PRESIDENT) |
| Authorized Official Contact | 9518938838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Psychiatric Group, Inc 28125 Bradley Rd Ste 220 Sun City CA 92586-2288 Ph: (951) 309-2140 | Southern California Psychiatric Group, Inc 28125 Bradley Rd Ste 220 Sun City CA 92586 Ph: (951) 309-2140 |
| NPI Number | 1285951871 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 05/23/2020 |
| Certification Date | 05/23/2020 |
| Medicare PECOS PAC ID | 5698011963 |
|---|---|
| Medicare Enrollment ID | O20190107003272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285951871 | NPI | - | NPPES |
| Provider Name | Bhuvaneswari Nallamothu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063542140 PECOS PAC ID: 1254426406 Enrollment ID: I20071002000824 |
Southern California Psychiatric Group, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28125 Bradley Rd Ste 220, Sun City, CA 92586 Phone: 951-309-2140 Fax: 951-309-2141 | |
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