| Center For Psycho-oncology Care, A Psychology Corporation | |
|
12032 Fairhope Rd San Diego CA 92128-2050 | |
| (619) 333-6764 | |
| Not Available |
| Full Name | Center For Psycho-oncology Care, A Psychology Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 12032 Fairhope Rd, San Diego, California |
| Authorized Official Name and Position | Veronica Cardenas (OWNER) |
| Authorized Official Contact | 6193336764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Psycho-oncology Care, A Psychology Corporation 9252 Garden Grove Blvd Ste 19 Garden Grove CA 92844-1436 Ph: (619) 333-6764 | Center For Psycho-oncology Care, A Psychology Corporation 12032 Fairhope Rd San Diego CA 92128-2050 Ph: (619) 333-6764 |
| NPI Number | 1942060173 |
|---|---|
| Provider Enumeration Date | 03/22/2024 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Medicare PECOS PAC ID | 9335687169 |
|---|---|
| Medicare Enrollment ID | O20240812003049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942060173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Veronica Cardenas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598024572 PECOS PAC ID: 4183876162 Enrollment ID: I20121221000196 |
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