Individual provider · Type 1 NPI

Justin Real

Psychiatric/Mental Health Nurse Practitioner · Porter Ranch, CA

NPI number 1205643186 Active

Practice location

19942 Crystal Hills Ln
Porter Ranch, CA 91326-3897

Call (818) 667-1036 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95032973 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1205643186

Justin Real's National Provider Identifier is 1205643186, issued on Dec 14, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Porter Ranch, CA. The record was last updated on Dec 14, 2024.