Provider Demographics
NPI:1346615234
Name:INNER FOKUS PSYCHOLOGICAL SERVICES, PC
Entity Type:Organization
Organization Name:INNER FOKUS PSYCHOLOGICAL SERVICES, PC
Other - Org Name:INNER FOKUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEKNAVICIUS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:949-393-4219
Mailing Address - Street 1:7545 IRVINE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2933
Mailing Address - Country:US
Mailing Address - Phone:949-393-4219
Mailing Address - Fax:877-310-9920
Practice Address - Street 1:7545 IRVINE CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2933
Practice Address - Country:US
Practice Address - Phone:949-393-4219
Practice Address - Fax:877-310-9920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)