EILEEN DORSEY (NPI# 1811380561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811380561 |
Entity Type | Individual |
Full Name | EILEEN DORSEY |
Practice Address |
12141 Brookhurst St Ste 201 Garden Grove CA 92840-2865 |
Mailing Address |
40700 California Oaks Rd Murrieta CA 92562-5795 |
Practice Telephone | 7147158797 |
Mailing Telephone | 9518945072 |
Enumeration Date | 2015-03-05 |
Last Update Date | 2020-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A022330316 | CA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1341014 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 101YA0400X | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1021 W La Cadena Dr, Riverside, CA 925011413 | 9517848010 |
Street Address |
12141 BROOKHURST ST STE 201 |
City | GARDEN GROVE |
State | CA |
Zip Code | 92840-2865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326391483 | Jeannette M Hayden | Counselor | 12141 Brookhurst St Ste 201, Garden Grove, CA 92840-2865 | 2012-10-25 |
1780291534 | Brenda Martinez | Counselor | 12141 Brookhurst St Ste 201, Garden Grove, CA 92840-2865 | 2020-09-25 |
1164888111 | Danielle Trang Pham | Counselor | 12141 Brookhurst St Ste 201, Garden Grove, CA 92840-2865 | 2016-01-06 |
1962867705 | Heather Koch | Counselor | 12141 Brookhurst St Ste 201, Garden Grove, CA 92840-2865 | 2015-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
Find all providers in zip 92840 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356703292 | David Wayne Miller | Counselor | 8692 La Grand Ave, Garden Grove, CA 92841-1011 | 2016-03-21 |
1568822005 | Jessica Anne Becker | Counselor | 6162 Trinette Ave, Garden Grove, CA 92845-2745 | 2016-02-25 |
1043577273 | Victor M Mettler | Counselor | 12171 Brookhaven Park, Garden Grove, CA 92840-2849 | 2012-04-12 |
1811262827 | Julie A Mills | Counselor | 13182 Coleman Pl, Garden Grove, CA 92843-1218 | 2012-03-09 |
1083795025 | George Albert Baca | Counselor | 9842 W.13th St, Garden Grove, CA 92844 | 2006-10-18 |
1235227265 | Carolina Echeverria Gonzalez | Counselor | 12531 Harbor Blvd Ste G, Garden Grove, CA 92840-5824 | 2006-10-11 |
1063506897 | David Bryan Fryer | Counselor | 7281 Garden Grove Blvd, Suite H, Garden Grove, CA 92841-4212 | 2006-10-03 |
1134226087 | Carmen L. Franklin | Counselor | 12516 Sungrove Cir, Garden Grove, CA 92840-5927 | 2006-09-20 |
1205318581 | Felicia Salmon | Counselor | 7281 Garden Grove Blvd Ste H, Garden Grove, CA 92841-4212 | 2018-09-03 |
1659887164 | Joel Milla | Counselor | 12531 Harbor Blvd Ste G, Garden Grove, CA 92840-5824 | 2017-12-19 |
Find all providers in GARDEN GROVE |
City | GARDEN GROVE |
Zip Code | 92840 |
Please comment or provide details below to improve the information on EILEEN DORSEY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.