| |
255 N Elm St Ste 203 Escondido CA 92025-3431 | |
(619) 573-4245 | |
(619) 810-2325 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 255 N Elm St Ste 203, Escondido, California |
Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
Authorized Official Contact | 5102927024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | 255 N Elm St Ste 203 Escondido CA 92025-3431 Ph: (619) 573-4245 |
NPI Number | 1487434635 |
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Provider Enumeration Date | 10/04/2023 |
Last Update Date | 02/03/2025 |
Certification Date | 02/03/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487434635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-5000 | |
Milestones Children's Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 S Escondido Blvd Ste A, Escondido, CA 92025 Phone: 760-740-0055 | |