| NPI | 1184326944 |
|---|---|
| Doing Business As | PSYCHUP NURSING PC |
| Doing Business As | PSYCHUP |
| Entity Type | Organization |
| Authorized Contact | PEDRO ESTRADA MORANTE CEO 661-888-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X | |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2024-03-28 |