| Sun Valley Behavioral Medical Center Inc | |
|
2417 Marshall Ave Ste 1 Imperial CA 92251 | |
| (760) 355-0161 | |
| (760) 355-2596 |
| Full Name | Sun Valley Behavioral Medical Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2417 Marshall Ave, Imperial, California |
| Authorized Official Name and Position | Bernardo Ng (OWNER) |
| Authorized Official Contact | 7603550161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Valley Behavioral Medical Center Inc 2417 Marshall Ave Ste 1 Imperial CA 92251 Ph: (760) 355-0161 | Sun Valley Behavioral Medical Center Inc 2417 Marshall Ave Ste 1 Imperial CA 92251 Ph: (760) 355-0161 |
| NPI Number | 1447279476 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 03/01/2010 |
| Medicare PECOS PAC ID | 8022152560 |
|---|---|
| Medicare Enrollment ID | O20100222000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447279476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Bernardo Ng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598780736 PECOS PAC ID: 8921004938 Enrollment ID: I20100222000285 |
| Provider Name | Manjusha V Kurada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154671980 PECOS PAC ID: 5799077905 Enrollment ID: I20160708001205 |
| Provider Name | Ma Rosa Nika Z Varrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114524402 PECOS PAC ID: 8628511474 Enrollment ID: I20240923000572 |