| Ahcs Behavior Health & Chronic Clinical Care Llc | |
|
12832 Valley View St Ste A&b Garden Grove CA 92845-2524 | |
| (714) 786-8715 | |
| Not Available |
| Full Name | Ahcs Behavior Health & Chronic Clinical Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12832 Valley View St Ste A&b, Garden Grove, California |
| Authorized Official Name and Position | Michelle Sherman (OWNER) |
| Authorized Official Contact | 7177868715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahcs Behavior Health & Chronic Clinical Care Llc 26024 Acero Ste 110 Mission Viejo CA 92691-2768 Ph: () - | Ahcs Behavior Health & Chronic Clinical Care Llc 12832 Valley View St Ste A&b Garden Grove CA 92845-2524 Ph: (714) 786-8715 |
| NPI Number | 1164016457 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 08/17/2021 |
| Medicare PECOS PAC ID | 4789084021 |
|---|---|
| Medicare Enrollment ID | O20210608003636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164016457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge Rubal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174713911 PECOS PAC ID: 2466542485 Enrollment ID: I20071214000134 |
| Provider Name | Harneet S Bath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679747760 PECOS PAC ID: 4880755941 Enrollment ID: I20081208000234 |
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