| Kamala Thomas Psychological Services Corp | |
|
15615 Alton Pkwy Irvine CA 92618-3341 | |
| (909) 952-3211 | |
| Not Available |
| Full Name | Kamala Thomas Psychological Services Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 15615 Alton Pkwy, Irvine, California |
| Authorized Official Name and Position | Kamala Thomas (OWNER) |
| Authorized Official Contact | 9099523211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kamala Thomas Psychological Services Corp 3 Arborside Way Mission Viejo CA 92692-5950 Ph: (909) 952-3211 | Kamala Thomas Psychological Services Corp 15615 Alton Pkwy Irvine CA 92618-3341 Ph: (909) 952-3211 |
| NPI Number | 1144843814 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Medicare PECOS PAC ID | 6709293657 |
|---|---|
| Medicare Enrollment ID | O20210322001483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144843814 | NPI | - | NPPES |
| 1972985422 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kamala S Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972985422 PECOS PAC ID: 4688989239 Enrollment ID: I20150812006653 |
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