| Teletherapeutics Health California Corp | |
|
710 Rimpau Ave Ste 102 Corona CA 92879-5724 | |
| (888) 420-0589 | |
| (888) 462-7765 |
| Full Name | Teletherapeutics Health California Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 710 Rimpau Ave Ste 102, Corona, California |
| Authorized Official Name and Position | Yasir J Ahmad (OWNER) |
| Authorized Official Contact | 7324851301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teletherapeutics Health California Corp 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (888) 420-0589 | Teletherapeutics Health California Corp 710 Rimpau Ave Ste 102 Corona CA 92879-5724 Ph: (888) 420-0589 |
| NPI Number | 1407625858 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 2961940788 |
|---|---|
| Medicare Enrollment ID | O20240812002642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407625858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Omar Farooqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336311315 PECOS PAC ID: 2961696083 Enrollment ID: I20101103000302 |
| Provider Name | Dhaval H Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053663096 PECOS PAC ID: 7416244553 Enrollment ID: I20160917000251 |
| Provider Name | Deborah Lee Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730206087 PECOS PAC ID: 5496139610 Enrollment ID: I20220907000702 |
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