| Hisham Psychiatric Medicine Inc | |
|
2900 Bristol St Ste B320 Costa Mesa CA 92626-5987 | |
| (509) 319-0845 | |
| Not Available |
| Full Name | Hisham Psychiatric Medicine Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2900 Bristol St Ste B320, Costa Mesa, California |
| Authorized Official Name and Position | Jason Brumback (PRESIDENT) |
| Authorized Official Contact | 5093190845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hisham Psychiatric Medicine Inc 2900 Bristol St Ste B320 Costa Mesa CA 92626-5987 Ph: (509) 319-0845 | Hisham Psychiatric Medicine Inc 2900 Bristol St Ste B320 Costa Mesa CA 92626-5987 Ph: (509) 319-0845 |
| NPI Number | 1124607353 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124607353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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