| Aungkhin Psychiatry Medical Group Inc | |
|
1673 W Broadway Ste 6 Anaheim CA 92802-1109 | |
| (714) 774-5915 | |
| (714) 774-8095 |
| Full Name | Aungkhin Psychiatry Medical Group Inc |
|---|---|
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1673 W Broadway Ste 6, Anaheim, California |
| Authorized Official Name and Position | Angela Desai (NP) |
| Authorized Official Contact | 7147745915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aungkhin Psychiatry Medical Group Inc 1673 W Broadway Ste 6 Anaheim CA 92802-1109 Ph: (714) 774-5915 | Aungkhin Psychiatry Medical Group Inc 1673 W Broadway Ste 6 Anaheim CA 92802-1109 Ph: (714) 774-5915 |
| NPI Number | 1437545787 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 04/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437545787 | NPI | - | NPPES |
| CA123377 | Other | CA | CA123377 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9871 (California) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 275289 (California) | Primary |
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