Individual
JERICHA MAE VIDUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 W CHAPMAN AVE STE 500, ORANGE, CA 92868-1638
(714) 456-5902
(816) 207-0693
Mailing address
101 THE CITY DR S BLDG 3, ORANGE, CA 92868-3201
(714) 456-5770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A176721
CA
Other
Enumeration date
03/31/2020
Last updated
06/14/2023
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