Organization
AUNGKHIN PSYCHIATRY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DESAI NP (NURSE PRACTITIONER)
(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
363LA2200X
Adult Health Nurse Practitioner
Primary
9871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA123377
PTAN ANGELA DESAI / CA123377
CA
Enumeration date
03/16/2015
Last updated
03/16/2015
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