| Wholesome Psychiatry And Medical Services Inc | |
|
9431 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5879 | |
| (909) 966-5678 | |
| Not Available |
| Full Name | Wholesome Psychiatry And Medical Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9431 Haven Ave Ste 100, Rancho Cucamonga, California |
| Authorized Official Name and Position | Anthony Ogugu (NP) |
| Authorized Official Contact | 9099665678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholesome Psychiatry And Medical Services Inc 9431 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5879 Ph: () - | Wholesome Psychiatry And Medical Services Inc 9431 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5879 Ph: (909) 966-5678 |
| NPI Number | 1346078706 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 8123559119 |
|---|---|
| Medicare Enrollment ID | O20241001003433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346078706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Blessing Uyovbievbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730722562 PECOS PAC ID: 2365806627 Enrollment ID: I20230919004150 |
| Provider Name | Caroline Chinonye Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659153930 PECOS PAC ID: 9335674548 Enrollment ID: I20241125004022 |
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