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NPI 1336011097

NPI 1336011097 : AM-J BEHAVIORAL HEALTH PSYCHIATRY SERVICES : PLACENTIA, CA

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General NPI Number Information
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    NPI Number           |    1336011097
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    Entity Type          |    Organization 
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    Legal Business Name  |    AM-J BEHAVIORAL HEALTH PSYCHIATRY SERVICES 
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Dates
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    Enumeration Date     |    09/22/2025
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    1058 CAMDEN DR 
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    City                 |    PLACENTIA
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    State                |    CA
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    Zip                  |    92870-3704
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    Country              |    US
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    Telephone            |    562-260-1288
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    818 MAGNOLIA AVE STE 201 
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    City                 |    CORONA
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    State                |    CA
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    Zip                  |    92879-3128
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    Country              |    US
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    Telephone            |    562-260-1288
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PMHNP
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    Name                 |     CRISTINA GONZALES PAJARILLAGA-ENCELLO 
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    Credential           |    NP
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    Telephone            |    562-260-1288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084B0040X
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    Taxonomy Name        |    Behavioral Neurology & Neuropsychiatry Physician
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    License Number       |    
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    License Number State |    
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