Individual
JOHN SAN FELIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-2309
Mailing address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-2309
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95080524
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032989
CA
Other
Enumeration date
10/30/2021
Last updated
11/17/2024
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