MEDARD SISON NP A PROFESSIONAL NURSING CORPORATION NPI 1528693579

NPI Information

NPI: 1528693579
Provider Name: MEDARD SISON NP, A PROFESSIONAL NURSING CORPORATION

Doing Business As: RENEWED MENTAL HEALTH GROUP

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
5182 KATELLA AVE STE 205
LOS ALAMITOS, CA
ZIP 90720
Phone: (714) 459-2208
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MEDARD SISON NP, A PROFESSIONAL NURSING CORPORATION is a psychiatric/mental health nurse practitioner in Los Alamitos, CA. MEDARD SISON NP, A PROFESSIONAL NURSING CORPORATION NPI is 1528693579. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Renewed Mental Health Group.

The provider's business location address is:

5182 KATELLA AVE STE 205
LOS ALAMITOS, CA
ZIP 90720-857
Phone: (714) 459-2208

The provider's authorized official is Medard Sison .
The authorized official title is Pmhnp-bc and has the following contact phone number (714) 831-0821.

The enumeration date for this NPI number is 3/10/2020 and was last updated on 7/17/2023.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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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