MEDICARE: CAROLJEAN MCLEAN N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP7830	CA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP7830	CA

General Provider Information

NPI Number	:	1184651887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLJEAN MCLEAN N.P.

Provider Business Mailing Address
First Line	:	5762 BOLSA AVE
Second Line	:	SUITE 107
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-1172
Country	:	US
Telephone Number	:	714-898-0362
Fax Number	:	714-893-3267

Provider Business Practice Location Address
First Line	:	5762 BOLSA AVE
Second Line	:	SUITE 107
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-1172
Country	:	US
Telephone Number	:	714-898-0362
Fax Number	:	714-893-3267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	09/11/2025

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