| New Light Circle | |
|
1360 Valley Vista Dr Ste 201 Diamond Bar CA 91765-3946 | |
| (909) 282-3257 | |
| Not Available |
| Full Name | New Light Circle |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1360 Valley Vista Dr Ste 201, Diamond Bar, California |
| Authorized Official Name and Position | Cephas Wong (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9099797755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Light Circle 16056 Sierra Pass Way Hacienda Heights CA 91745-6544 Ph: (909) 979-7755 | New Light Circle 1360 Valley Vista Dr Ste 201 Diamond Bar CA 91765-3946 Ph: (909) 282-3257 |
| NPI Number | 1689282683 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/16/2020 |
| Certification Date | 07/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689282683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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