# AVID MENTAL HEALTH A PROFESSIONAL NURSING CORPORATION

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

## Provider details

- **NPI number:** 1700637956
- **Authorized official:** JESSICA JUN (COO)
- **Authorized official phone:** (714) 461-4121

## Contact information

- **Practice address:** 1820 W ORANGEWOOD AVE STE 104, ORANGE, CA 92868-5051
- **Practice address phone:** (714) 461-4121
- **Mailing address:** 2050 N TUSTIN ST \# 1036, ORANGE, CA 92865-3902
- **Mailing address phone:** (714) 461-4121

## 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:** 03/27/2024
- **Last updated:** 03/27/2024