Organization
HISHAM PSYCHIATRIC MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BRUMBACK (PRESIDENT)
(509) 319-0845
Entity
Organization
Contact information
Practice address
2900 BRISTOL ST STE B320, COSTA MESA, CA 92626-5987
(509) 319-0845
Mailing address
2900 BRISTOL ST STE B320, COSTA MESA, CA 92626-5987
(509) 319-0845
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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