Individual
CEVIN JORDAN WHITE O'HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
303 POTRERO ST STE 304, SANTA CRUZ, CA 95060-2741
(831) 420-0120
(831) 420-1057
Mailing address
303 POTRERO ST STE 42-103, SANTA CRUZ, CA 95060-2779
(831) 420-0120
(831) 420-1057
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44AV
MEDI-CAL PRV NBR
CA
Enumeration date
07/07/2009
Last updated
07/08/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us