| Dr Clint Harold Salo, DO | |
|
17782 Cowan, Suite A, Irvine, CA 92614-6030 | |
| (949) 722-7118 | |
| (949) 722-7119 |
| Full Name | Dr Clint Harold Salo |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 18 Years |
| Location | 17782 Cowan, Irvine, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811159221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A12121 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anaheim Global Medical Center | Anaheim, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Progeny Psychiatric Clinic A Medical Corporation | 4688904592 | 33 |
| Jason Kellogg Md Inc | 9032266127 | 14 |
| Entity Name | Jason Kellogg Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235391624 PECOS PAC ID: 9032266127 Enrollment ID: O20090407000131 |
| Entity Name | Progeny Psychiatric Clinic A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548735202 PECOS PAC ID: 4688904592 Enrollment ID: O20190919000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clint Harold Salo, DO Po Box 18228, Irvine, CA 92623-8228 Ph: (949) 955-2101 | Dr Clint Harold Salo, DO 17782 Cowan, Suite A, Irvine, CA 92614-6030 Ph: (949) 722-7118 |
Dr. Kort Christopher Ulicny, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 139 Tenor, Irvine, CA 92618 Phone: 949-339-7299 Fax: 949-946-6763 | |
Amy Blood, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19712 Macarthur Blvd Ste 110, Irvine, CA 92612 Phone: 949-773-9207 Fax: 618-202-2024 | |
Dr. Amelia Angela Russo-neustadt, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 Pacifica, Suite 160, Irvine, CA 92618 Phone: 949-453-8805 | |
Dr. Ravindra R Chand, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 22 Odyssey Suite 240, Pacific Neuropsychiatry And Sleep, Irvine, CA 92618 Phone: 949-207-3797 Fax: 949-207-3799 | |
Tuong Nguyen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5 Flora Spgs, Irvine, CA 92602 Phone: 714-935-6363 Fax: 714-935-8112 | |
Harold Louis Boerlin Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15615 Alton Pkwy, Suite 220, Irvine, CA 92618 Phone: 949-753-1143 Fax: 949-249-6601 | |
Dr. Valeh Karimkhani, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Park Plz Ste 600, Irvine, CA 92614 Phone: 949-515-7300 Fax: 888-850-3284 |