| Rize Oc Mental Health | |
|
22792 Centre Dr Ste 104 Lake Forest CA 92630-6311 | |
| (949) 606-4681 | |
| Not Available |
| Full Name | Rize Oc Mental Health |
|---|---|
| Speciality | Clinic/center |
| Location | 22792 Centre Dr Ste 104, Lake Forest, California |
| Authorized Official Name and Position | Tyler Michaelis (MANAGING MEMBER) |
| Authorized Official Contact | 9496064681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rize Oc Mental Health 22792 Centre Dr Ste 104 Lake Forest CA 92630-6311 | Rize Oc Mental Health 22792 Centre Dr Ste 104 Lake Forest CA 92630-6311 Ph: (949) 606-4681 |
| NPI Number | 1174242564 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 02/10/2025 |
| Certification Date | 02/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174242564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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