Organization
AUNGKHIN PSYCHIATRY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DESAI (NP)
(714) 774-5915
Entity
Organization
Contact information
Practice address
1673 W BROADWAY STE 6, ANAHEIM, CA 92802-1109
(714) 774-5915
(714) 774-8095
Mailing address
1673 W BROADWAY STE 6, ANAHEIM, CA 92802-1109
(714) 774-5915
(714) 774-8095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9871
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
275289
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA123377
CA123377
CA
Enumeration date
04/14/2015
Last updated
04/14/2015
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