Synapse Association | |
1326 Marina Cir Davis CA 95616-2623 | |
(650) 450-3239 | |
Not Available |
Full Name | Synapse Association |
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Speciality | Community/Behavioral Health |
Location | 1326 Marina Cir, Davis, California |
Authorized Official Name and Position | Mina Hah (CEO) |
Authorized Official Contact | 6504503239 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Synapse Association 1326 Marina Cir Davis CA 95616-2623 Ph: (650) 450-3239 | Synapse Association 1326 Marina Cir Davis CA 95616-2623 Ph: (650) 450-3239 |
NPI Number | 1518320894 |
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Provider Enumeration Date | 04/03/2016 |
Last Update Date | 04/03/2016 |
Medicare PECOS PAC ID | 9133588338 |
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Medicare Enrollment ID | O20230706002128 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518320894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | A82972 (California) | Primary |
Provider Name | Mina Hah |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083931869 PECOS PAC ID: 8224291216 Enrollment ID: I20120601000198 |
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