Trevedan, Inc | |
34778 Hickory Ln Wildomar CA 92595-8990 | |
(562) 552-4210 | |
(310) 356-3886 |
Full Name | Trevedan, Inc |
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Speciality | Marriage & Family Therapist |
Location | 34778 Hickory Ln, Wildomar, California |
Authorized Official Name and Position | Larry M Carter (PRESIDENT/CEO) |
Authorized Official Contact | 5625524210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trevedan, Inc 34778 Hickory Ln Wildomar CA 92595-8990 Ph: (562) 552-4210 | Trevedan, Inc 34778 Hickory Ln Wildomar CA 92595-8990 Ph: (562) 552-4210 |
NPI Number | 1306468020 |
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Provider Enumeration Date | 05/15/2020 |
Last Update Date | 05/15/2020 |
Certification Date | 05/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306468020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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