| Triumph Healthcare Oc Llc | |
|
23201 Orange Ave Lake Forest CA 92630-4849 | |
| (949) 446-9906 | |
| Not Available |
| Full Name | Triumph Healthcare Oc Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 23201 Orange Ave, Lake Forest, California |
| Authorized Official Name and Position | Marcee Patrick (ADMINISTRATOR / PROGRAM DIRECTOR) |
| Authorized Official Contact | 8005759750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triumph Healthcare Oc Llc 30251 Golden Lantern Suite E-415 Laguna Niguel CA 92677 Ph: (949) 446-9906 | Triumph Healthcare Oc Llc 23201 Orange Ave Lake Forest CA 92630-4849 Ph: (949) 446-9906 |
| NPI Number | 1184255887 |
|---|---|
| Provider Enumeration Date | 01/31/2020 |
| Last Update Date | 08/09/2021 |
| Certification Date | 08/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184255887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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