Provider Demographics
NPI:1750921532
Name:EMPIRICA GROUP INC
Entity type:Organization
Organization Name:EMPIRICA GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BITTERLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-556-9190
Mailing Address - Street 1:PO BOX 54842
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92619-4842
Mailing Address - Country:US
Mailing Address - Phone:949-556-9190
Mailing Address - Fax:949-556-9190
Practice Address - Street 1:6 VENTURE STE 350
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-7350
Practice Address - Country:US
Practice Address - Phone:949-556-9190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty