Healthcare Provider Details

I. General information

NPI: 1427348010
Provider Name (Legal Business Name): OC-PSYCHIATRIST INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2011
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26932 OSO PKWY #200
MISSION VIEJO CA
92691-5815
US

IV. Provider business mailing address

26932 OSO PKWY #200
MISSION VIEJO CA
92691-5815
US

V. Phone/Fax

Practice location:
  • Phone: 949-701-1528
  • Fax: 949-348-9626
Mailing address:
  • Phone: 949-701-1528
  • Fax: 949-348-9626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberA93990
License Number StateCA

VIII. Authorized Official

Name: DR. ANDREW DAVID MORROW
Title or Position: PRESIDENT
Credential: M.D.
Phone: 949-701-1528