| Identicorp | |
|
27001 La Paz Rd Ste 401 Mission Viejo CA 92691-5502 | |
| (949) 742-0669 | |
| (949) 858-5431 |
| Full Name | Identicorp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 27001 La Paz Rd Ste 401, Mission Viejo, California |
| Authorized Official Name and Position | James Robert Molter (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 9497420669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Identicorp 19389 Live Oak Canyon Rd Trabuco Canyon CA 92679-3037 Ph: (949) 742-0669 | Identicorp 27001 La Paz Rd Ste 401 Mission Viejo CA 92691-5502 Ph: (949) 742-0669 |
| NPI Number | 1528404316 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 05/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528404316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFC46277 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | MFC46701 (California) | Primary |
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