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Individual

DANNY NA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(909) 486-4000
Mailing address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95199324
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030335
CA

Other

Enumeration date
01/12/2024
Last updated
04/23/2026
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