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Organization
PEAK WELLNESS PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION
Active
Organization
PEAK WELLNESS PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN D THEBO PMHNP-BC (OWNER OF ENTITY)
(888) 909-8676
Entity
Organization
Contact information
Practice address
8880 RIO SAN DIEGO DR STE 800, SAN DIEGO, CA 92108-1642
(888) 909-8676
Mailing address
440 N BARRANCA AVE # 6619, COVINA, CA 91723-1722
(888) 909-8676
(855) 940-1848
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
07/06/2023
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