Healthcare Provider Details

I. General information

NPI: 1699296442
Provider Name (Legal Business Name): BEAR FLAG CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31451 LOMA LINDA RD
TEMECULA CA
92592-1605
US

IV. Provider business mailing address

31451 LOMA LINDA RD
TEMECULA CA
92592-1605
US

V. Phone/Fax

Practice location:
  • Phone: 951-699-2495
  • Fax: 951-699-2495
Mailing address:
  • Phone: 951-699-2495
  • Fax: 951-699-2495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberMFT34264
License Number StateCA

VIII. Authorized Official

Name: MR. GREGORY ALEXANDER SCHARF
Title or Position: OWNER/PRESIDENT
Credential: MFT
Phone: 951-699-2495