SUNBRIDGE PSYCH NPI 1376057802

NPI Information

NPI: 1376057802
Provider Name: SUNBRIDGE PSYCH
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
30240 RANCHO VIEJO RD STE C1
SAN JUAN CAPISTRANO, CA
ZIP 92675
Phone: (949) 374-9245
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SUNBRIDGE PSYCH is a psychiatric/mental health clinical nurse specialist in San Juan Capistrano, CA. SUNBRIDGE PSYCH NPI is 1376057802. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30240 RANCHO VIEJO RD STE C1
SAN JUAN CAPISTRANO, CA
ZIP 92675-515
Phone: (949) 374-9245
Fax: (949) 751-2432

The provider's authorized official is Mary Ann Offenheiser .
The authorized official title is Psych Clinical Nurse Specialist and has the following contact phone number (949) 374-9245.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 10/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	2458	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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