| Professional Component | |
|
1310 W Stewart Dr Suite 410 Pc Orange CA 92868-3854 | |
| (714) 639-9401 | |
| Not Available |
| Full Name | Professional Component |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 1310 W Stewart Dr, Orange, California |
| Authorized Official Name and Position | Jennifer Yonis (OPERATIONS MANAGER) |
| Authorized Official Contact | 7146399401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Component 1310 W Stewart Dr Suite 410 Orange CA 92868-3854 Ph: (714) 639-9401 | Professional Component 1310 W Stewart Dr Suite 410 Pc Orange CA 92868-3854 Ph: (714) 639-9401 |
| NPI Number | 1679733190 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 03/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679733190 | NPI | - | NPPES |
| GR0003350 | Medicaid | CA |
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