Individual
CHOMYA OO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
41990 COOK ST BLDG F-2002, PALM DESERT, CA 92211-6100
(760) 674-7132
(760) 674-7120
Mailing address
954 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3782
(909) 946-4222
(909) 946-8243
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020380
CA
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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