Organization
MBLDN PSYCHIATRY
Active
Other names
MBLDN Psychiatry and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MOTAKEF DO (PRESIDENT)
(951) 201-1453
Entity
Organization
Contact information
Practice address
500 S ANAHEIM HILLS RD STE 246, ANAHEIM, CA 92807-4760
(949) 414-9495
Mailing address
500 S ANAHEIM HILLS RD STE 246, ANAHEIM, CA 92807-4760
(949) 414-9495
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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