MEDICARE: MH&WC INC

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
1	103TH0004X	Health Psychologist	PSY14812	CA

General Provider Information

NPI Number	:	1881093649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MH&WC INC

Provider Business Mailing Address
First Line	:	3008 OSTROM AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-4227
Country	:	US
Telephone Number	:	714-886-9026
Fax Number	:

Provider Business Practice Location Address
First Line	:	3008 OSTROM AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-4227
Country	:	US
Telephone Number	:	714-886-9026
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAVID REINHARDT
Credential	:	PH.D.
Telephone Number	:	714-886-9026

Provider Enumeration Date	:	08/18/2014
Last Update Date	:	08/18/2014

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