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Organization
MODERN PSYCHIATRIC GROUP
Active
Organization
MODERN PSYCHIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW LAMPLEY MD (CEO)
(949) 688-6079
Entity
Organization
Contact information
Practice address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(949) 688-6079
(949) 688-6079
Mailing address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(949) 688-6079
(949) 688-6079
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801384045
PSYCHIATRY
CA
Enumeration date
10/09/2023
Last updated
10/22/2023
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