Organization
CHOLULA PSYCHOLOGICAL SERVICES
Active
Other names
Cholula Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANTONIO CHOLULA BRUNO MA, EDD (CEO/CLINICAL PSYCHOLOGIST)
(714) 253-7877
Entity
Organization
Contact information
Practice address
600 W SANTA ANA BLVD STE 214-B, SANTA ANA, CA 92701-4558
(714) 253-7877
Mailing address
600 W SANTA ANA BLVD STE 530, SANTA ANA, CA 92701-4551
(714) 253-7877
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
01
—
1578873584
NPI
—
Enumeration date
12/18/2020
Last updated
05/19/2025
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