Avant Garde Psychology Inc

LBN: Avant Garde Psychology Inc
Avant Garde Psychology Inc is an health care organization with primary practice located at 2737 E Coast Hwy Ste F , Corona Del Mar CA 92625-2110. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Avant Garde Psychology Inc can be contacted via phone (949) 412-7178, or through Estonactoc, George Valere via phone (949) 412-7178.

Contact Information

Primary practice address
2737 E Coast Hwy Ste F Corona Del Mar CA 92625-2110
Phone: (949) 412-7178
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Estonactoc, George Valere PH.D.
Phone: (949) 412-7178

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1376141440
LBN Legal business name Avant Garde Psychology Inc
DBA Doing business as
Authorized official Estonactoc, George Valere PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2020
Last updated Oct 12th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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