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Organization

ORANGE PSYCHIATRIC MEDICAL GROUP, INC

Active
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Organization

ORANGE PSYCHIATRIC MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAI B CHUNDU M.D. (PRESIDENT/ OWNER)
(951) 737-1917
Entity
Organization

Contact information

Practice address
41670 IVY ST, SUITE C, MURRIETA, CA 92562-9433
(951) 696-5220
(951) 696-5222
Mailing address
770 MAGNOLIA AVE, SUITE 1F, CORONA, CA 92879-3121
(951) 737-1917
(951) 735-4105

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
103TC0700X
Clinical Psychologist
—
CA
1041C0700X
Clinical Social Worker
—
CA
106H00000X
Marriage & Family Therapist
—
CA
2084P0800X
Psychiatry Physician
Primary
—
CA

Other

Enumeration date
07/20/2012
Last updated
07/20/2012
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