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NPI Code Detail

MEDICARE: WESTERN YOUTH SERVICES

MEDICARE: WESTERN YOUTH SERVICES
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1770617987
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTERN YOUTH SERVICES
Provider Business Mailing Address
First Line : 222 S HARBOR BLVD STE 650
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3756
Country : US
Telephone Number : 714-871-5646
Fax Number : 714-817-7368
Provider Business Practice Location Address
First Line : 222 S HARBOR BLVD STE 650
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3756
Country : US
Telephone Number : 714-871-5646
Fax Number : 714-817-7368
Authorized Official
Title or Position : CEO
Name : DR. LORRAYNE LEIGH BELHUMEUR
Credential : PH.D.
Telephone Number : 949-855-1556
Provider Enumeration Date : 03/16/2007
Last Update Date : 12/04/2023

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Directions to “WESTERN YOUTH SERVICES ” Practice Location

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