| Neuropsychology Oc | |
|
6 Venture Ste 350 Irvine CA 92618-7350 | |
| (949) 556-9190 | |
| Not Available |
| Full Name | Neuropsychology Oc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6 Venture Ste 350, Irvine, California |
| Authorized Official Name and Position | Chad Bitterlich (PRESIDENT) |
| Authorized Official Contact | 9495569190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology Oc Po Box 54842 Irvine CA 92619-4842 Ph: (949) 556-9190 | Neuropsychology Oc 6 Venture Ste 350 Irvine CA 92618-7350 Ph: (949) 556-9190 |
| NPI Number | 1750921532 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Medicare PECOS PAC ID | 5890125736 |
|---|---|
| Medicare Enrollment ID | O20200417000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750921532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Eileen S Kang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689744005 PECOS PAC ID: 5193749430 Enrollment ID: I20060126000563 |
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