| The Restoration Circle Inc. | |
|
17595 Harvard Ave # C721 Irvine CA 92614-8516 | |
| (999) 999-9999 | |
| Not Available |
| Full Name | The Restoration Circle Inc. |
|---|---|
| Speciality | Counselor |
| Location | 17595 Harvard Ave # C721, Irvine, California |
| Authorized Official Name and Position | Tiana Owens (OWNER) |
| Authorized Official Contact | 9999999999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Restoration Circle Inc. 17595 Harvard Ave # C721 Irvine CA 92614-8516 Ph: () - | The Restoration Circle Inc. 17595 Harvard Ave # C721 Irvine CA 92614-8516 Ph: (999) 999-9999 |
| NPI Number | 1336897628 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Medicare PECOS PAC ID | 2365971751 |
|---|---|
| Medicare Enrollment ID | O20250130001156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336897628 | NPI | - | NPPES |
| Provider Name | Lawrence Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427452242 PECOS PAC ID: 8123412350 Enrollment ID: I20220303001267 |
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