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Organization

OC GEROPSYCHIATRIC MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THU PHAN NP (DIRECTOR, SECRETARY, AND TREASURER)
(714) 487-9724
Entity
Organization

Contact information

Practice address
6000 CAMINO REAL, SUITE B, JURUPA VALLEY, CA 92509
(714) 487-9724
Mailing address
16478 BEACH BLVD, WESTMINSTER, CA 92683-7860
(714) 487-9724

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary

Other

Enumeration date
06/13/2024
Last updated
06/13/2024
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