JINGYI THEIS


Address: 25411 Cabot Rd. Suite 206, Laguna Hills, CA 92653
Phone: 9493097903

JINGYI THEIS (NPI# 1659660058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659660058
Entity Type Individual
Full Name JINGYI THEIS
Credential MSN, PMHNP
Practice Address 25411 Cabot Rd. Suite 206
Laguna Hills
CA 92653
Mailing Address Po Box 52673
Irvine
CA 92619-2673
Practice Telephone 9493097903
Practice Fax Number 9497165243
Mailing Telephone 9493097903
Mailing Fax Number 9497165243
Enumeration Date 2011-04-06
Last Update Date 2015-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
484436 CA Nursing Service Providers

Office Location

Street Address 25411 CABOT RD. SUITE 206
City LAGUNA HILLS
State CA
Zip Code 92653

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1932708476 Nikkie Veyseh Behavior Technician 26921 Falling Leaf Dr., Laguna Hills, CA 92653 2020-10-24
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1467006882 Kristina Alexa Puno Morales Dietitian, Registered 24552 Health Center Drive, Laguna Hills, CA 92653 2019-07-25
1164929626 Shoreline Consulting Services, Inc. Clinic/Center 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 2018-04-11
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1831613850 Stephani A Berg Physical Medicine & Rehabilitation 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 2017-08-01
1497299945 Stephanie Lyle Nurse Practitioner 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 2016-12-16
1053776278 Meillanny Gladness Counselor 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 2015-12-16
1912383183 Pmdca, LLC Clinical Medical Laboratory 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 2015-08-10
1821486630 4mpw, Inc. Home Health 23232 Peralta Drive 216, Laguan Hills, CA 92653 2014-12-31
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LAGUNA HILLS
Zip Code 92653

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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