Organization
ELAN ACADEMIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIMA RANSOM (BUSINESS MANAGER)
(714) 966-2312
Entity
Organization
Contact information
Practice address
3158 RED HILL AVE STE 150, COSTA MESA, CA 92626-3428
(714) 966-2312
(714) 966-2317
Mailing address
3158 RED HILL AVE STE 150, COSTA MESA, CA 92626-3428
(714) 966-2312
(714) 966-2317
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PSY22346
CA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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