Provider Demographics
NPI:1083309306
Name:RR&C. A PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:RR&C. A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:ORTIZ
Authorized Official - Last Name:SALGADO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:949-942-1991
Mailing Address - Street 1:22996 EL TORO RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-4961
Mailing Address - Country:US
Mailing Address - Phone:949-942-1991
Mailing Address - Fax:
Practice Address - Street 1:22996 EL TORO RD STE 103
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-4961
Practice Address - Country:US
Practice Address - Phone:949-942-1991
Practice Address - Fax:949-942-1969
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RR&C. A PSYCHOLOGICAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty