Organization
GLASSCELL PC
Active
Other names
Redefine Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BAILEY (MANAGER)
(949) 822-9566
Entity
Organization
Contact information
Practice address
550 N GOLDEN CIRCLE DR STE A, SANTA ANA, CA 92705-3977
(714) 352-9138
Mailing address
20500 BELSHAW AVENUE DPT XLA 1132, CARSON, CA 90746-3506
(949) 822-9566
(949) 264-9135
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
03/06/2024
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