Organization
SOUTHA-BUSH NURSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA BUSH PMHNP (PRESIDENT)
(714) 609-3244
Entity
Organization
Contact information
Practice address
1100 W TOWN AND COUNTRY RD STE 1232, ORANGE, CA 92868-4600
(714) 817-7447
(714) 253-3582
Mailing address
1100 W TOWN AND COUNTRY RD STE 1232, ORANGE, CA 92868-4600
(714) 817-7447
(714) 253-3582
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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