ORANGE PSYCHIATRIC MEDICAL GROUP INC NPI 1225383763

NPI Information

  • NPI: 1225383763
  • Provider Name: ORANGE PSYCHIATRIC MEDICAL GROUP, INC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 770 MAGNOLIA AVE
    SUITE 1F
    CORONA, CA
    ZIP 92879
  • Phone: (951) 737-1917

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NPI Details

ORANGE PSYCHIATRIC MEDICAL GROUP, INC is a psychiatry psychiatry neurology in Corona, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. ORANGE PSYCHIATRIC MEDICAL GROUP, INC NPI is 1225383763. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

770 MAGNOLIA AVE
SUITE 1F
CORONA, CA
ZIP 92879-121
Phone: (951) 737-1917
Fax: (951) 735-4105

The provider's authorized official is Sai B Chundu .
The authorized official title is President/ Owner and has the following contact phone number (951) 737-1917.

The enumeration date for this NPI number is 7/20/2012 and was last updated on 7/20/2012.

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
1101YM0800XCounselorMental HealthCALIFORNIANo
2103TC0700XPsychologistClinicalCALIFORNIANo
3103TC1900XPsychologistCounselingCALIFORNIANo
4103TC2200XPsychologistClinical Child & AdolescentCALIFORNIANo
51041C0700XSocial WorkerClinicalCALIFORNIANo
6106H00000XMarriage & Family TherapistCALIFORNIANo
72084P0800XPsychiatry & NeurologyPsychiatryCALIFORNIAYes

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This page was last updated on: 11/21/2025

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