Provider Demographics
NPI:1568865301
Name:AMEN CLINICS, INC
Entity Type:Organization
Organization Name:AMEN CLINICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-266-3736
Mailing Address - Street 1:959 SOUTH COAST DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-1786
Mailing Address - Country:US
Mailing Address - Phone:949-266-3700
Mailing Address - Fax:949-266-3750
Practice Address - Street 1:959 SOUTH COAST DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-1786
Practice Address - Country:US
Practice Address - Phone:949-266-3700
Practice Address - Fax:949-266-3750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic NeuroimagingGroup - Multi-Specialty