# MENTAL HEALTH AND NURSING PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Renewed Mental Health Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528693579
- **Authorized official:** MEDARD SISON NP (PMHNP-BC)
- **Authorized official phone:** (714) 831-0821

## Contact information

- **Practice address:** 421 N BROOKHURST ST STE 119, ANAHEIM, CA 92801-5618
- **Practice address phone:** (714) 361-0898
- **Practice address fax:** (714) 276-2604
- **Mailing address:** PO BOX 104371, PASADENA, CA 91189-4371

## 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:** 03/10/2020
- **Last updated:** 04/04/2025