# CYS-405 W. 5TH ST. STE 590, SA 92701

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

## Provider details

- **NPI number:** 1407819881
- **Authorized official:** ANNETTE MALIJEN MFT (MARRIAGE FAMILY THERAPIST)
- **Authorized official phone:** (714) 935-7538

## Contact information

- **Practice address:** 405 W 5TH ST, STE 590, SANTA ANA, CA 92701-4519
- **Practice address phone:** (714) 834-5015
- **Mailing address:** 405 W 5TH ST, STE 590, SANTA ANA, CA 92701-4519
- **Mailing address phone:** (714) 834-5015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC 36570 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2006
- **Last updated:** 08/22/2020