| Socal Therapists Psychological Services P.c | |
|
2102 Business Center Dr Irvine CA 92612-1001 | |
| (714) 486-4669 | |
| Not Available |
| Full Name | Socal Therapists Psychological Services P.c |
|---|---|
| Speciality | Psychologist |
| Location | 2102 Business Center Dr, Irvine, California |
| Authorized Official Name and Position | Elham Abouhamzeh (PRESIDENT) |
| Authorized Official Contact | 7144864669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Therapists Psychological Services P.c 2102 Business Center Dr Irvine CA 92612-1001 Ph: (714) 486-4669 | Socal Therapists Psychological Services P.c 2102 Business Center Dr Irvine CA 92612-1001 Ph: (714) 486-4669 |
| NPI Number | 1619531944 |
|---|---|
| Provider Enumeration Date | 04/22/2019 |
| Last Update Date | 05/08/2021 |
| Certification Date | 05/08/2021 |
| Medicare PECOS PAC ID | 6305178955 |
|---|---|
| Medicare Enrollment ID | O20191031000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619531944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elham Abouhamzeh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386092880 PECOS PAC ID: 7315230901 Enrollment ID: I20160719002378 |
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