| Blooming Integrative Psychiatry | |
|
23283 Canyon Lake Dr S Canyon Lake CA 92587-7598 | |
| (951) 387-0782 | |
| Not Available |
| Full Name | Blooming Integrative Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 23283 Canyon Lake Dr S, Canyon Lake, California |
| Authorized Official Name and Position | Hannah Fraley (CEO) |
| Authorized Official Contact | 9513870782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Integrative Psychiatry 31566 Railroad Canyon Rd Ste 2 Canyon Lake CA 92587-9446 Ph: (951) 387-0782 | Blooming Integrative Psychiatry 23283 Canyon Lake Dr S Canyon Lake CA 92587-7598 Ph: (951) 387-0782 |
| NPI Number | 1417812587 |
|---|---|
| Provider Enumeration Date | 12/19/2025 |
| Last Update Date | 12/19/2025 |
| Certification Date | 12/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417812587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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