| 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 |
|---|---|
| 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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