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4482 Barranca Pkwy Ste 130 Irvine CA 92604-4744 | |
| (949) 743-5678 | |
| (949) 743-5682 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4482 Barranca Pkwy Ste 130, Irvine, California |
| Authorized Official Name and Position | Diane Marie Stein (PRESIDENT) |
| Authorized Official Contact | 9496830278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4482 Barranca Pkwy Ste 130 Irvine CA 92604-4744 Ph: (949) 743-5678 | 4482 Barranca Pkwy Ste 130 Irvine CA 92604-4744 Ph: (949) 743-5678 |
| NPI Number | 1497104434 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497104434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G077484 (California) | Primary |
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