Healthcare Provider Details

I. General information

NPI: 1528252012
Provider Name (Legal Business Name): VERONICA MONES R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 08/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2975 CLEARGLEN DR
FULLERTON CA
92835-4319
US

IV. Provider business mailing address

439 W 97TH ST
LOS ANGELES CA
90003-3968
US

V. Phone/Fax

Practice location:
  • Phone: 626-644-1439
  • Fax:
Mailing address:
  • Phone: 323-754-2856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: