Organization
MIND OASIS PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLAIN S PEREGRINO PMHNP-BC (CEO)
(408) 484-7012
Entity
Organization
Contact information
Practice address
60 W MAIN AVE STE 11A, MORGAN HILL, CA 95037-4553
(408) 484-7012
Mailing address
60 W MAIN AVE STE 11A, MORGAN HILL, CA 95037-4553
(408) 484-7012
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740639301
—
CA
Enumeration date
11/12/2018
Last updated
11/12/2018
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