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Organization
MENTAL HEALTH AND NURSING PC
Active
Organization
MENTAL HEALTH AND NURSING PC
Active
Other names
Renewed Mental Health Group
Organization subpart
No
Provider details
NPI number
Authorized official
MEDARD SISON NP (PMHNP-BC)
(714) 831-0821
Entity
Organization
Contact information
Practice address
421 N BROOKHURST ST STE 119, ANAHEIM, CA 92801-5618
(714) 361-0898
(714) 276-2604
Mailing address
PO BOX 104371, PASADENA, CA 91189-4371
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
04/04/2025
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