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AVID MENTAL HEALTH A PROFESSIONAL NURSING CORPORATION
NPI 1700637956
Nurse Practitioner - Psychiatric/Mental Health in Orange, CA

Active since March 27, 2024
1820 W ORANGEWOOD AVE STE 104, ORANGE, CA 92868(714) 461-4121 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Avid Mental Health A Professional Nursing Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVID MENTAL HEALTH A PROFESSIONAL NURSING CORPORATION (NPI 1700637956) is a healthcare organization registered as a psychiatric/mental health in Orange, California and active in the NPI registry since March 2024. The organization lists Jessica Jun, Coo, as its authorized official.

NPPES Registry Identity

NPI1700637956
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAVID MENTAL HEALTH A PROFESSIONAL NURSING CORPORATION
Location Address1820 W ORANGEWOOD AVE STE 104Orange, CA 92868-5051
Mailing Address2050 N Tustin St # 1036Orange, CA 92865-3902 · (714) 461-4121
Phone(714) 461-4121
Organization SubpartNo
Authorized OfficialJessica JunCoo · (714) 461-4121
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1700637956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1820 W ORANGEWOOD AVE STE 104, Orange, CA 92868
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATELYN MAGSINO NP
Nurse Practitioner (Psychiatric/Mental Health)
1820 W ORANGEWOOD AVE STE 104
ORANGE, CA 92868
Orange County (951) 271-1628

Frequently Asked Questions

What is AVID MENTAL HEALTH A PROFESSIONAL NURSING CORPORATION's NPI number?

The NPI number assigned to this healthcare provider is 1700637956, enumerated as an "organization" on March 27, 2024.

Where is the provider located?

The provider is located at 1820 W ORANGEWOOD AVE STE 104 ORANGE, CA 92868 and the phone number is (714) 461-4121.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.