Organization
PMNI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA JUNG PSY.D. (CLINICAL DIRECTOR)
(310) 378-0547
Entity
Organization
Contact information
Practice address
609 DEEP VALLEY DR STE 241, ROLLING HILLS ESTATES, CA 90274-3629
(310) 378-0547
Mailing address
5776D LINDERO CANYON RD STE 469, WESTLAKE VILLAGE, CA 91362-4088
(310) 378-0547
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TH0004X
Health Psychologist
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
03/13/2019
Last updated
08/31/2021
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