| Theraq, Inc | |
|
17752 Sky Park Circle Suite 245 Irvine CA 92614 | |
| (714) 922-0720 | |
| Not Available |
| Full Name | Theraq, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 17752 Sky Park Circle, Irvine, California |
| Authorized Official Name and Position | Katherine Moore (OFFICER OF THE BOARD OF DIRECTORS) |
| Authorized Official Contact | 7149220720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theraq, Inc 20409 Yorba Linda Blvd Ste 237 Yorba Linda CA 92886-3042 Ph: (714) 922-0720 | Theraq, Inc 17752 Sky Park Circle Suite 245 Irvine CA 92614 Ph: (714) 922-0720 |
| NPI Number | 1285456905 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285456905 | NPI | - | NPPES |
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