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NPI Code Detail

MEDICARE: DR. KRISTIN RENEE BACHMAN

MEDICARE: DR. KRISTIN RENEE BACHMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1134311293
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN RENEE BACHMAN
Provider Business Mailing Address
First Line : 35 BLUFF COVE DR
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-8077
Country : US
Telephone Number : 949-305-3303
Fax Number :
Provider Business Practice Location Address
First Line : 23461 S POINTE DR STE 220
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1523
Country : US
Telephone Number : 949-855-1556
Fax Number : 949-951-2871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 08/13/2007

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Directions to “ DR. KRISTIN RENEE BACHMAN ” Practice Location

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