| The Greenleaf Center A Psychological Services Corporation | |
|
13006 Philadelphia St Suite 411 Whittier CA 90601-4210 | |
| (562) 945-5108 | |
| (562) 945-5208 |
| Full Name | The Greenleaf Center A Psychological Services Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 13006 Philadelphia St, Whittier, California |
| Authorized Official Name and Position | Jorge Garcia (DIRECTOR) |
| Authorized Official Contact | 5629455108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Greenleaf Center A Psychological Services Corporation 13006 Philadelphia St Suite 411 Whittier CA 90601-4210 Ph: (562) 945-5108 | The Greenleaf Center A Psychological Services Corporation 13006 Philadelphia St Suite 411 Whittier CA 90601-4210 Ph: (562) 945-5108 |
| NPI Number | 1558390641 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 04/06/2015 |
| Medicare PECOS PAC ID | 8729084041 |
|---|---|
| Medicare Enrollment ID | O20061010000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558390641 | NPI | - | NPPES |
| GPS001430 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY16485 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC41879 (California) | Secondary |
| Provider Name | Jorge Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194732511 PECOS PAC ID: 1456357771 Enrollment ID: I20061010000566 |
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