| Walk Intuit Inc. | |
|
27128 Paseo Espada Ste A1522 San Juan Capistrano CA 92675-6708 | |
| (323) 806-6675 | |
| Not Available |
| Full Name | Walk Intuit Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 27128 Paseo Espada Ste A1522, San Juan Capistrano, California |
| Authorized Official Name and Position | Jessica Mathon (PRESIDENT) |
| Authorized Official Contact | 3238066675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walk Intuit Inc. 27128 Paseo Espada Ste A1522 San Juan Capistrano CA 92675-6708 Ph: (323) 806-6675 | Walk Intuit Inc. 27128 Paseo Espada Ste A1522 San Juan Capistrano CA 92675-6708 Ph: (323) 806-6675 |
| NPI Number | 1720595911 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Medicare PECOS PAC ID | 0547607194 |
|---|---|
| Medicare Enrollment ID | O20240319002464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720595911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jessica Mathon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902299563 PECOS PAC ID: 1456798008 Enrollment ID: I20240322000171 |
| Provider Name | Cassandra Caitlin Seidler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962118414 PECOS PAC ID: 5193164143 Enrollment ID: I20240423003886 |
| Provider Name | Jennifer A Schilling |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1700942422 PECOS PAC ID: 2163869710 Enrollment ID: I20240424002683 |
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