Organization · Type 2 NPI
Socal Mind and Body, PC
Psychiatric/Mental Health Nurse Practitioner · Garden Grove, CA
NPI number
1033067400
Active
Practice location
12555 Garden Grove Blvd Ste 408
Garden Grove, CA 92843-1904
Fax (714) 408-1179
Mailing address
127 Iron Horse
Irvine, CA 92602-1826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Garden Grove
About NPI 1033067400
Socal Mind and Body, PC's National Provider Identifier is 1033067400, issued on Mar 20, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Garden Grove, CA. The record was last updated on Oct 20, 2026.