# SOUTHA-BUSH NURSING CORP

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

## Provider details

- **NPI number:** 1386501401
- **Authorized official:** MRS. DIANA BUSH PMHNP (PRESIDENT)
- **Authorized official phone:** (714) 609-3244

## Contact information

- **Practice address:** 1100 W TOWN AND COUNTRY RD STE 1232, ORANGE, CA 92868-4600
- **Practice address phone:** (714) 817-7447
- **Practice address fax:** (714) 253-3582
- **Mailing address:** 1100 W TOWN AND COUNTRY RD STE 1232, ORANGE, CA 92868-4600
- **Mailing address phone:** (714) 817-7447
- **Mailing address fax:** (714) 253-3582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2026
- **Last updated:** 01/09/2026