Ajb Prosperity Mental Health, Nursing PC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Diamond Bar, CA

NPI 1992561377 · NPPES record last updated Feb 25, 2024

Key facts

NPI
1992561377
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
AJB PROSPERITY MENTAL HEALTH, NURSING PC
Practice address
1370 Valley Vista Dr Ste 200
Diamond Bar, CA 91765-3921
Phone
(626) 384-0929
NPI assigned
Feb 23, 2024
Organization subpart
No

Authorized official

Name
Alan Baldrias, NP
Title
Nurse Practitioner
Phone
(626) 384-0929

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0800X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Yes

Addresses

Primary practice location

1370 Valley Vista Dr Ste 200
Diamond Bar, CA 91765-3921

Mailing address

1370 Valley Vista Dr Ste 200
Diamond Bar, CA 91765-3921

Other providers in Diamond Bar, CA

All providers in Diamond Bar, CA · Psychiatric/Mental Health Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.