Organization
JOHN J. URSINO, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE A KIRCHER CONTRACT (SPECIALIST)
(951) 683-2324
Entity
Organization
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
Primary
40739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40739
LICENSE NUMBER
CA
Enumeration date
06/03/2009
Last updated
06/03/2009
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