Organization
MINDTALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEWEL SON (MANAGING MEMBER)
(714) 451-4880
Entity
Organization
Contact information
Practice address
1100 W TOWN AND COUNTRY RD STE 1239, ORANGE, CA 92868-4600
(714) 451-4880
Mailing address
1100 W TOWN AND COUNTRY RD STE 1239, ORANGE, CA 92868-4600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/07/2022
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