Ajb Prosperity Mental Health, Nursing Pc | |
1370 Valley Vista Dr Ste 200 Diamond Bar CA 91765-3921 | |
(626) 384-0929 | |
Not Available |
Full Name | Ajb Prosperity Mental Health, Nursing Pc |
---|---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1370 Valley Vista Dr Ste 200, Diamond Bar, California |
Authorized Official Name and Position | Alan Baldrias (NURSE PRACTITIONER) |
Authorized Official Contact | 6263840929 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ajb Prosperity Mental Health, Nursing Pc 1370 Valley Vista Dr Ste 200 Diamond Bar CA 91765-3921 Ph: () - | Ajb Prosperity Mental Health, Nursing Pc 1370 Valley Vista Dr Ste 200 Diamond Bar CA 91765-3921 Ph: (626) 384-0929 |
NPI Number | 1992561377 |
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Provider Enumeration Date | 02/23/2024 |
Last Update Date | 02/25/2024 |
Certification Date | 02/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992561377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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