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Organization
AJB PROSPERITY MENTAL HEALTH, NURSING PC
Active
Organization
AJB PROSPERITY MENTAL HEALTH, NURSING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BALDRIAS NP (NURSE PRACTITIONER)
(626) 384-0929
Entity
Organization
Contact information
Practice address
1370 VALLEY VISTA DR STE 200, DIAMOND BAR, CA 91765-3921
(626) 384-0929
Mailing address
1370 VALLEY VISTA DR STE 200, DIAMOND BAR, CA 91765-3921
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
02/23/2024
Last updated
02/25/2024
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