Organization
JIWON HELEN WYMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIWON HELEN WYMAN MD (CEO)
(714) 410-6516
Entity
Organization
Contact information
Practice address
2372 MORSE AVE, IRVINE, CA 92614-6234
(714) 410-6516
Mailing address
454 LAS GALLINAS AVE # 2030, SAN RAFAEL, CA 94903-3618
(714) 410-6516
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/10/2020
Last updated
12/11/2020
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