| Four Square Clinicals Of California A Professional Nursing Corporation | |
|
418 N Cline Court Placentia CA 92870 | |
| (714) 345-6944 | |
| Not Available |
| Full Name | Four Square Clinicals Of California A Professional Nursing Corporation |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 418 N Cline Court, Placentia, California |
| Authorized Official Name and Position | Steven Huerta (CLINICAL OPERATIONS DIRECTOR) |
| Authorized Official Contact | 7143456944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Square Clinicals Of California A Professional Nursing Corporation 650 N Rose Drive Suite 472 Placentia CA 92870 Ph: (714) 345-6944 | Four Square Clinicals Of California A Professional Nursing Corporation 418 N Cline Court Placentia CA 92870 Ph: (714) 345-6944 |
| NPI Number | 1770224222 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770224222 | NPI | - | NPPES |
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