Individual
JINGYI THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP
Contact information
Practice address
25411 CABOT RD. SUITE 206, LAGUNA HILLS, CA 92653
(949) 309-7903
(949) 716-5243
Mailing address
PO BOX 52673, IRVINE, CA 92619-2673
(949) 309-7903
(949) 716-5243
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
484436
CA
Other
Enumeration date
04/06/2011
Last updated
08/04/2015
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