| Life Vision Clinical Group Corporation | |
|
3943 Irvine Blvd #261 Irvine CA 92602-2400 | |
| (714) 291-4307 | |
| Not Available |
| Full Name | Life Vision Clinical Group Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3943 Irvine Blvd, Irvine, California |
| Authorized Official Name and Position | Allyson Lee Lehrich (PRESIDENT) |
| Authorized Official Contact | 7142914307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Vision Clinical Group Corporation 3943 Irvine Blvd #261 Irvine CA 92602-2400 Ph: (714) 291-4307 | Life Vision Clinical Group Corporation 3943 Irvine Blvd #261 Irvine CA 92602-2400 Ph: (714) 291-4307 |
| NPI Number | 1134369424 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134369424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS23116 (California) | Primary |
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