| Mind Oasis Psychiatry, A Professional Nursing Corporation | |
|
60 W Main Ave Ste 11a Morgan Hill CA 95037-4553 | |
| (408) 484-7012 | |
| Not Available |
| Full Name | Mind Oasis Psychiatry, A Professional Nursing Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 60 W Main Ave Ste 11a, Morgan Hill, California |
| Authorized Official Name and Position | Carolain S Peregrino (CEO) |
| Authorized Official Contact | 4084847012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Oasis Psychiatry, A Professional Nursing Corporation 60 W Main Ave Ste 11a Morgan Hill CA 95037-4553 Ph: (408) 484-7012 | Mind Oasis Psychiatry, A Professional Nursing Corporation 60 W Main Ave Ste 11a Morgan Hill CA 95037-4553 Ph: (408) 484-7012 |
| NPI Number | 1023586716 |
|---|---|
| Provider Enumeration Date | 11/12/2018 |
| Last Update Date | 11/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023586716 | NPI | - | NPPES |
| 1740639301 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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