| Mindcare Neurofeedback Medical Group | |
|
3230 Waring Ct Ste Q Oceanside CA 92056-4509 | |
| (760) 591-9975 | |
| (760) 591-9976 |
| Full Name | Mindcare Neurofeedback Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3230 Waring Ct Ste Q, Oceanside, California |
| Authorized Official Name and Position | Luis Navazo (PRESIDENT) |
| Authorized Official Contact | 7605919975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindcare Neurofeedback Medical Group 3230 Waring Ct Ste Q Oceanside CA 92056-4509 Ph: (760) 591-9975 | Mindcare Neurofeedback Medical Group 3230 Waring Ct Ste Q Oceanside CA 92056-4509 Ph: (760) 591-9975 |
| NPI Number | 1578288718 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/12/2022 |
| Medicare PECOS PAC ID | 7911376116 |
|---|---|
| Medicare Enrollment ID | O20221209002449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578288718 | NPI | - | NPPES |
| Provider Name | Luis J Navazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043359219 PECOS PAC ID: 0941391080 Enrollment ID: I20100202000476 |
| Provider Name | Suzanne M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245733450 PECOS PAC ID: 1850705922 Enrollment ID: I20210201001991 |
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