| Avant Garde Psychology Inc | |
|
2737 E Coast Hwy Ste F Corona Del Mar CA 92625-2110 | |
| (949) 412-7178 | |
| Not Available |
| Full Name | Avant Garde Psychology Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2737 E Coast Hwy Ste F, Corona Del Mar, California |
| Authorized Official Name and Position | George Valere Estonactoc (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9494127178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avant Garde Psychology Inc 28292 El Sur Laguna Niguel CA 92677-4422 Ph: (949) 412-7178 | Avant Garde Psychology Inc 2737 E Coast Hwy Ste F Corona Del Mar CA 92625-2110 Ph: (949) 412-7178 |
| NPI Number | 1376141440 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376141440 | NPI | - | NPPES |
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