| Nolan R Ung Md Inc | |
|
727 West Rd La Habra Heights CA 90631-8055 | |
| (909) 936-2631 | |
| (949) 502-8887 |
| Full Name | Nolan R Ung Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 727 West Rd, La Habra Heights, California |
| Authorized Official Name and Position | Nolan R Ung (CEO/MD) |
| Authorized Official Contact | 9099362631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nolan R Ung Md Inc 2371 Grand Ave Unit 90093 Long Beach CA 90809-6003 Ph: (909) 936-2631 | Nolan R Ung Md Inc 727 West Rd La Habra Heights CA 90631-8055 Ph: (909) 936-2631 |
| NPI Number | 1659144640 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 7113363953 |
|---|---|
| Medicare Enrollment ID | O20240314002796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659144640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nolan Ryan Ung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861989766 PECOS PAC ID: 8022454867 Enrollment ID: I20240314002924 |
Windrose Behavior Directions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Virazon Drive, La Habra Heights, CA 90631 Phone: 562-743-0701 Fax: 562-691-0701 |