Oak, Mina

Oak, Mina is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Oak, Mina can be contacted via phone (714) 456-8068.

Contact Information

Primary practice address
101 The City Dr S Orange CA 92868-3201
Phone: (714) 456-8068
Fax: (714) 456-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY18651 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY18651 California

Profile Details

NPI number 1114051919
LBN Legal business name Oak, Mina
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Mar 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114051919 NPPES
California MEDICAID PSY186510

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