| Peaceful Mind | |
|
13075 Blackbird St Garden Grove CA 92843 | |
| (714) 747-1818 | |
| Not Available |
| Full Name | Peaceful Mind |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13075 Blackbird St, Garden Grove, California |
| Authorized Official Name and Position | Tony Tran (DO/PRESIDENT) |
| Authorized Official Contact | 7147471818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Mind 13121 Laburnum Dr Tustin CA 92780-3824 Ph: (714) 747-1818 | Peaceful Mind 13075 Blackbird St Garden Grove CA 92843 Ph: (714) 747-1818 |
| NPI Number | 1467093849 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 10/07/2019 |
| Medicare PECOS PAC ID | 4789017831 |
|---|---|
| Medicare Enrollment ID | O20191204001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467093849 | NPI | - | NPPES |
| LICENSE | Other | CA | 15767 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Trang T Hoang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801911581 PECOS PAC ID: 6608917687 Enrollment ID: I20100113000403 |
| Provider Name | Jayson C Jun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760808240 PECOS PAC ID: 1951607688 Enrollment ID: I20160929001727 |
| Provider Name | Tony T.n. Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053750265 PECOS PAC ID: 5597084459 Enrollment ID: I20180425002160 |
| Provider Name | Suzie Dong-matsuda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134181142 PECOS PAC ID: 8224456694 Enrollment ID: I20200916002871 |
| Provider Name | Karen Luu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215416102 PECOS PAC ID: 9739580283 Enrollment ID: I20210622002410 |
| Provider Name | Victoria T Juarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568955862 PECOS PAC ID: 8022487214 Enrollment ID: I20221209001879 |
| Provider Name | Sharon K Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205468113 PECOS PAC ID: 3173983624 Enrollment ID: I20230717001323 |
| Provider Name | Valerie Joan Purcell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174184238 PECOS PAC ID: 8527414044 Enrollment ID: I20231019001719 |
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