| Pro Health Psychiatry Nursing Corporation | |
|
4533 Macarthur Blvd Ste A-2068 Newport Beach CA 92660-2059 | |
| (562) 833-0518 | |
| Not Available |
| Full Name | Pro Health Psychiatry Nursing Corporation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4533 Macarthur Blvd Ste A-2068, Newport Beach, California |
| Authorized Official Name and Position | Jacob Olsen (CEO) |
| Authorized Official Contact | 5628330518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Health Psychiatry Nursing Corporation 4533 Macarthur Blvd Ste A-2068 Newport Beach CA 92660-2059 Ph: (562) 833-0518 | Pro Health Psychiatry Nursing Corporation 4533 Macarthur Blvd Ste A-2068 Newport Beach CA 92660-2059 Ph: (562) 833-0518 |
| NPI Number | 1932972247 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 01/04/2024 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932972247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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