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General NPI Number Information
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NPI Number | 1235782590
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Entity Type | Organization
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Legal Business Name | CALIFORNIA CENTERS FOR PSYCHIATRIC WELLNESS AND HEALTH
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 160 N DATE ST
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City | ESCONDIDO
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State | CA
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Zip | 92025-3406
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Country | US
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Telephone | 800-674-2019
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Fax |
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Provider Business Mailing Address
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Address Line | 29911 NIGUEL RD UNIT 6305
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92607-2412
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Country | US
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Telephone | 800-351-0966
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Fax | 800-674-7207
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Authorized Official
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Title or Position | CEO
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Name | PARMIS KHATIBI
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Credential |
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Telephone | 800-351-0966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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