Individual
DR. JOHN JOSEPH URSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 N TUSTIN AVE, SUITE 300, SANTA ANA, CA 92705-8644
(714) 547-3900
(714) 547-3903
Mailing address
751 S WEIR CANYON RD, PMB 482, ANAHEIM, CA 92808-1962
(714) 547-3900
(714) 547-3903
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C 40739
CA
2084P0800X
Psychiatry Physician
Primary
C40739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C40739
LICENSE # C40739
CA
Enumeration date
12/01/2005
Last updated
10/10/2012
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