| Anza Wellness & Recovery | |
|
350 E. Commercial Rd Suite 112 San Bernardino CA 92408-3764 | |
| (480) 999-8295 | |
| (480) 800-2212 |
| Full Name | Anza Wellness & Recovery |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 350 E. Commercial Rd, San Bernardino, California |
| Authorized Official Name and Position | Caleb Mauti Reid (CEO) |
| Authorized Official Contact | 4089998295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anza Wellness & Recovery 301 N Palm Canyon Dr Ste 103-1047 Palm Springs CA 92262-5672 Ph: (480) 999-8295 | Anza Wellness & Recovery 350 E. Commercial Rd Suite 112 San Bernardino CA 92408-3764 Ph: (480) 999-8295 |
| NPI Number | 1811605637 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 6800244799 |
|---|---|
| Medicare Enrollment ID | O20231204001463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811605637 | NPI | - | NPPES |
| Provider Name | Caleb Mauti Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053759217 PECOS PAC ID: 7810364437 Enrollment ID: I20231204001557 |
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