Organization
AVID MENTAL HEALTH A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JUN (COO)
(714) 461-4121
Entity
Organization
Contact information
Practice address
1820 W ORANGEWOOD AVE STE 104, ORANGE, CA 92868-5051
(714) 461-4121
Mailing address
2050 N TUSTIN ST # 1036, ORANGE, CA 92865-3902
(714) 461-4121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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