Healthcare Provider Details

I. General information

NPI: 1356563167
Provider Name (Legal Business Name): CRISTINA MIHAELA AAMOT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 01/17/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 FLOWER ST
SANTA ANA CA
92702
US

IV. Provider business mailing address

1135 W 10TH ST
SANTA ANA CA
92703-2219
US

V. Phone/Fax

Practice location:
  • Phone: 714-647-6070
  • Fax:
Mailing address:
  • Phone: 714-504-0017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number16509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: