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NPI Code Detail

MEDICARE: MINA CHERIKI RN, PMHNP-BC

MEDICARE:   MINA  CHERIKI  RN, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95250143CA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95034676CA

General Provider Information

NPI Number : 1033803176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINA CHERIKI RN, PMHNP-BC
Provider Business Mailing Address
First Line : 1720 W BALL RD STE 4C
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-5591
Country : US
Telephone Number : 714-683-1472
Fax Number : 714-683-1473
Provider Business Practice Location Address
First Line : 1720 W BALL RD STE 4C
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-5591
Country : US
Telephone Number : 714-683-1472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2023
Last Update Date : 05/22/2025

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Directions to “ MINA CHERIKI RN, PMHNP-BC” Practice Location

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