Healthcare Provider Details

I. General information

NPI: 1144135518
Provider Name (Legal Business Name): ESTEL MENTAL HEALTH NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 CENTRAL AVE STE 400
RIVERSIDE CA
92506-5907
US

IV. Provider business mailing address

3610 CENTRAL AVE STE 400
RIVERSIDE CA
92506-5907
US

V. Phone/Fax

Practice location:
  • Phone: 951-338-5893
  • Fax: 951-269-4271
Mailing address:
  • Phone: 951-338-5893
  • Fax: 951-269-4271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AUSTIN JEFFREY CHANDLER
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 951-990-6516