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TUSTIN AUTISM SERVICES FOR KIDS NPI 1770839086


NPI Information

NPI: 1770839086
Provider Name: TUSTIN AUTISM SERVICES FOR KIDS
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
661 W 1ST ST STE E
TUSTIN, CA
ZIP 92780
Phone: (714) 838-2115
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TUSTIN AUTISM SERVICES FOR KIDS is a multi-specialty clinic center in Tustin, CA. TUSTIN AUTISM SERVICES FOR KIDS NPI is 1770839086. The provider is registered as an organization entity type.

The provider's business location address is:

661 W 1ST ST STE E
TUSTIN, CA
ZIP 92780-939
Phone: (714) 838-2115
Fax: (714) 838-4533

The provider's authorized official is Lorena A Post .
The authorized official title is Clinical Director and has the following contact phone number (714) 838-2115.

The enumeration date for this NPI number is 7/24/2012 and was last updated on 7/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtySP5043CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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