| Scintadel Liberty, Inc. | |
|
6833 Indiana Ave Ste 208 Riverside CA 92506-4223 | |
| (213) 422-6853 | |
| Not Available |
| Full Name | Scintadel Liberty, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6833 Indiana Ave Ste 208, Riverside, California |
| Authorized Official Name and Position | Vijay Chandran (CEO) |
| Authorized Official Contact | 2134226853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scintadel Liberty, Inc. 921 N Milliken Ave # 1176 Ontario CA 91764-5083 Ph: (213) 422-6853 | Scintadel Liberty, Inc. 6833 Indiana Ave Ste 208 Riverside CA 92506-4223 Ph: (213) 422-6853 |
| NPI Number | 1164122800 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164122800 | NPI | - | NPPES |
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