Healthcare Provider Details

I. General information

NPI: 1437647237
Provider Name (Legal Business Name): MEIER CLINICS OF CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 04/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10565 NORTH 114TH STREET SUITE 107 - #8
SCOTTSDALE AZ
85259
US

IV. Provider business mailing address

2100 MANCHESTER RD STE 1510
WHEATON IL
60187-4561
US

V. Phone/Fax

Practice location:
  • Phone: 425-892-1225
  • Fax:
Mailing address:
  • Phone: 630-653-1717
  • Fax: 630-653-9691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SANDY K NEWPORT
Title or Position: NATIONAL EXECUTIVE ASSISTANT
Credential:
Phone: 630-653-1717