| Jiwon Helen Wyman Md Pc | |
|
2372 Morse Ave Irvine CA 92614-6234 | |
| (714) 410-6516 | |
| Not Available |
| Full Name | Jiwon Helen Wyman Md Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2372 Morse Ave, Irvine, California |
| Authorized Official Name and Position | Jiwon Helen Wyman (CEO) |
| Authorized Official Contact | 7144106516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jiwon Helen Wyman Md Pc 454 Las Gallinas Ave # 2030 San Rafael CA 94903-3618 Ph: (714) 410-6516 | Jiwon Helen Wyman Md Pc 2372 Morse Ave Irvine CA 92614-6234 Ph: (714) 410-6516 |
| NPI Number | 1265034839 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 12/11/2020 |
| Certification Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265034839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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