| Western Youth Services | |
|
18350 Mount Langley St Ste 220 Fountain Valley CA 92708-6912 | |
| (714) 378-2620 | |
| Not Available |
| Full Name | Western Youth Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18350 Mount Langley St Ste 220, Fountain Valley, California |
| Authorized Official Name and Position | Tein Phan (PSYCHOLOGY INTERN) |
| Authorized Official Contact | 7143782620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Youth Services 18350 Mount Langley St Ste 220 Fountain Valley CA 92708-6912 Ph: () - | Western Youth Services 18350 Mount Langley St Ste 220 Fountain Valley CA 92708-6912 Ph: (714) 378-2620 |
| NPI Number | 1215484019 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 09/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215484019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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