Individual
DUANGDEUN JEAN BRAHMOPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, NP, CNS
Contact information
Practice address
1502 W WEST COVINA PKWY, WEST COVINA, CA 91790-2703
(626) 480-5212
(626) 480-5231
Mailing address
855 OAK KNOLL ST, BREA, CA 92821-2039
(626) 480-5212
(626) 480-5231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
PHN25309
CA
163W00000X
Registered Nurse
RN275643
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
PMH535
CA
363L00000X
Nurse Practitioner
NP16310
CA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CNS1139
CA
Other
Enumeration date
06/21/2007
Last updated
09/11/2025
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