Healthcare Provider Details

I. General information

NPI: 1750231460
Provider Name (Legal Business Name): AM-J BEHAVIORAL HEALTH AND PSYCHIATRIC SERVICES A NURSING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 MAGNOLIA AVE
CORONA CA
92879-3128
US

IV. Provider business mailing address

1058 CAMDEN DR
PLACENTIA CA
92870-3704
US

V. Phone/Fax

Practice location:
  • Phone: 562-213-9978
  • Fax: 562-262-2029
Mailing address:
  • Phone: 562-213-9978
  • Fax: 562-262-2029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CRISTINA PAJARILLAGA-ENCELLO
Title or Position: PMHNP
Credential: NP
Phone: 562-260-1288