| Moving Forward Psychological Institute, Inc | |
|
17150 Newhope St Ste 205 Fountain Valley CA 92708-4250 | |
| (949) 431-6374 | |
| Not Available |
| Full Name | Moving Forward Psychological Institute, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17150 Newhope St Ste 205, Fountain Valley, California |
| Authorized Official Name and Position | Paul Hoang (CEO) |
| Authorized Official Contact | 9494316374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Forward Psychological Institute, Inc Po Box 10624 Westminster CA 92685-0624 Ph: (949) 373-6703 | Moving Forward Psychological Institute, Inc 17150 Newhope St Ste 205 Fountain Valley CA 92708-4250 Ph: (949) 431-6374 |
| NPI Number | 1104446632 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 08/09/2021 |
| Certification Date | 08/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104446632 | NPI | - | NPPES |
| 815428 | Medicaid | CA | |
| VPA1720275001 | Other | CA | TRIWEST |
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