| Pica Pau Land | |
|
3756 Angeles Rd Orcutt CA 93455-2946 | |
| (805) 275-2072 | |
| Not Available |
| Full Name | Pica Pau Land |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3756 Angeles Rd, Orcutt, California |
| Authorized Official Name and Position | David Laurel Scott (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Contact | 8052604676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pica Pau Land 3756 Angeles Rd Orcutt CA 93455-2946 Ph: (805) 275-2072 | Pica Pau Land 3756 Angeles Rd Orcutt CA 93455-2946 Ph: (805) 275-2072 |
| NPI Number | 1134647720 |
|---|---|
| Provider Enumeration Date | 09/02/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134647720 | NPI | - | NPPES |
| 1306048905 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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