Organization
BLUE OCEAN MENTAL HEALTH
Active
Other names
Blue Ocean Mental Health, A Professional Nursing Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
ESDER SHIN NP (NURSE PRACTITIONER)
(917) 714-9696
Entity
Organization
Contact information
Practice address
4143 VIA MARINA APT 912, MARINA DEL REY, CA 90292-5308
(323) 553-1114
Mailing address
4143 VIA MARINA APT 912, MARINA DEL REY, CA 90292-5308
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/22/2022
Last updated
12/27/2022
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