Organization
ORANGE PACIFIC MENTAL HEALTH, PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY KORM PMHNP-BC (OWNER)
(978) 328-3023
Entity
Organization
Contact information
Practice address
201 N BRAND BLVD UNIT 200, GLENDALE, CA 91203-3590
(503) 987-3135
(503) 388-7333
Mailing address
3935 NORMAL ST APT 309, SAN DIEGO, CA 92103-3588
(503) 987-3135
(503) 388-7333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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