Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SO CAL OUTPATIENT
Active
Organization
SO CAL OUTPATIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA TIMANUS (PROGRAM MANAGER)
(714) 381-0432
Entity
Organization
Contact information
Practice address
17671 IRVINE BLVD, SUITE 201, TUSTIN, CA 92780-3178
(714) 381-0432
Mailing address
546 S CITRON ST, ANAHEIM, CA 92805-4420
(714) 381-0432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers