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NPI Code Detail

MEDICARE: PEACE & PROSPERITY PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION

MEDICARE: PEACE & PROSPERITY PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1205769957
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEACE & PROSPERITY PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION
Provider Business Mailing Address
First Line : 595 E COLORADO BLVD STE 205
Second Line :
City : PASADENA
State : CA
Zip : 91101-2028
Country : US
Telephone Number : 626-217-2128
Fax Number :
Provider Business Practice Location Address
First Line : 595 E COLORADO BLVD STE 205
Second Line :
City : PASADENA
State : CA
Zip : 91101-2028
Country : US
Telephone Number : 626-217-2128
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TROY DON
Credential : NP
Telephone Number : 626-217-2128
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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