Fullerton Counseling And Medical Group, Inc

LBN: Fullerton Counseling And Medical Group, Inc
Fullerton Counseling And Medical Group, Inc is an health care organization with primary practice located at 2228 N State College Blvd , Fullerton CA 92831-1361. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Prescribing (Medical) is the primary health care specialty. Fullerton Counseling And Medical Group, Inc can be contacted via phone (714) 990-0700, or through Petrie, Justine Anne via phone (714) 990-0700.

Contact Information

Primary practice address
2228 N State College Blvd Fullerton CA 92831-1361
Phone: (714) 990-0700
Fax: (714) 990-0142
Website:
Map and Directions
Authorized official contact:
Name: Petrie, Justine Anne Doctor of Medicine (MD)
Phone: (714) 990-0700

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PSY6172 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PSY15282 California
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X C38832 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X ML012201 California

Profile Details

NPI number 1821131673
LBN Legal business name Fullerton Counseling And Medical Group, Inc
DBA Doing business as
Authorized official Petrie, Justine Anne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Mar 26th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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