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NPI Code Detail

MEDICARE: MYLYNNE YUMANG CELI NURSE PRACTITIONER

MEDICARE: MYLYNNE YUMANG CELI NURSE PRACTITIONER
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
1363L00000XNurse Practitioner95025260CA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95025260CA

General Provider Information

NPI Number : 1962041483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYLYNNE YUMANG CELI NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 301 VICTORIA ST
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-7131
Country : US
Telephone Number : 949-642-2734
Fax Number :
Provider Business Practice Location Address
First Line : 301 VICTORIA ST
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-7131
Country : US
Telephone Number : 949-642-2734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2020
Last Update Date : 06/02/2026

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Directions to “ MYLYNNE YUMANG CELI NURSE PRACTITIONER” Practice Location

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