| New Day Recovery Center, Inc. | |
|
11780 Central Ave Ste 100 Chino CA 91710-6499 | |
| (909) 517-2020 | |
| (909) 517-2022 |
| Full Name | New Day Recovery Center, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11780 Central Ave Ste 100, Chino, California |
| Authorized Official Name and Position | Yaser M Selim (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9095172020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Day Recovery Center, Inc. 11780 Central Ave Ste 100 Chino CA 91710-6499 Ph: (909) 517-2020 | New Day Recovery Center, Inc. 11780 Central Ave Ste 100 Chino CA 91710-6499 Ph: (909) 517-2020 |
| NPI Number | 1376559625 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 07/29/2019 |
| Medicare PECOS PAC ID | 9638502685 |
|---|---|
| Medicare Enrollment ID | O20191204002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376559625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Rajagopal K Sunder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972572824 PECOS PAC ID: 0941228605 Enrollment ID: I20120427000128 |
| Provider Name | Yucui Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699036582 PECOS PAC ID: 6002133493 Enrollment ID: I20150324000633 |
| Provider Name | Gloria Sudeta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083070064 PECOS PAC ID: 7810285210 Enrollment ID: I20161130001840 |
| Provider Name | Benjo Ysmael Cacdac Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841966249 PECOS PAC ID: 2769874890 Enrollment ID: I20220121000573 |
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