| Cys West Region | |
|
14140 Beach Blvd Suite 155 Westminster CA 92683-4453 | |
| (714) 896-7556 | |
| Not Available |
| Full Name | Cys West Region |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 14140 Beach Blvd, Westminster, California |
| Authorized Official Name and Position | CHI Y Rajalingam (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7148343154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys West Region 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | Cys West Region 14140 Beach Blvd Suite 155 Westminster CA 92683-4453 Ph: (714) 896-7556 |
| NPI Number | 1124165667 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124165667 | NPI | - | NPPES |
| 30B9 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (NU) | Primary |
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