# INTEGRATED BEHAVIORAL HEALTH NURSING PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265361042
- **Authorized official:** ANGELIKA PANOVA BOHANNAN MHPNP-RN/ LMFT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (714) 887-3816

## Contact information

- **Practice address:** 16365 PICK PL, RIVERSIDE, CA 92504-5638
- **Practice address phone:** (714) 887-3816
- **Practice address fax:** (209) 203-1061
- **Mailing address:** 1057 E IMPERIAL HWY APT 226, PLACENTIA, CA 92870-1717
- **Mailing address phone:** (714) 887-3816
- **Mailing address fax:** (209) 203-1061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/18/2026
- **Last updated:** 05/18/2026