DR. JENNIFER LAZARRAGA DEL MUNDO (NPI# 1245426048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245426048 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LAZARRAGA DEL MUNDO |
| Practice Address |
17621 Irvine Blvd Ste 216 Tustin CA 92780-3131 |
| Mailing Address |
3126 E Scotts Vw Unit D Orange CA 92869-7571 |
| Practice Telephone | 7143408279 |
| Mailing Telephone | (714) 340-8279 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
29261 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 53993 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12660 Stanton Ave, Tustin, CA 927821027 | 7148326987 |
| Street Address |
17621 IRVINE BLVD STE 216 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194126185 | Kristin Murphy | Social Worker | 17621 Irvine Blvd Ste 216, Tustin, CA 92780-3131 | 2014-09-09 |
| 1720413941 | Katie Lynn Doumani | Marriage & Family Therapist | 17621 Irvine Blvd Ste 216, Tustin, CA 92780-3114 | 2013-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568941201 | Del Mundo Psychological, Apc | Psychologist | 17621 Irvine Blvd Ste 214, Tustin, CA 92780-3131 | 2018-08-13 |
| 1649785403 | Kimberley R. Argue Schwartz | Psychologist | 250 W Main St Ste 201, Tustin, CA 92780-7718 | 2017-12-02 |
| 1104278100 | Jenny Yip | Psychologist | 3002 Dow Ave Ste 122, Tustin, CA 92780-7247 | 2016-07-01 |
| 1891199352 | Mission Psychology Group, Inc | Psychologist | 17821 E. 17th St. Ste #250, Tustin, CALIFORNIA 92780 | 2014-10-13 |
| 1649548652 | Asap Family Therapy, Inc. | Psychologist | 17821 East 17th St, Suite 250, Tustin, CA 92780 | 2011-12-05 |
| 1740597566 | Oranoos Ariane | Psychologist | 17291 Irvine Blvd Ste 164, Tustin, CA 92780 | 2010-09-01 |
| 1174754634 | Edward James Pallotta Jr. | Psychologist | 14081 Yorba St Ste 203, Tustin, CA 92780-2011 | 2009-07-31 |
| 1972795086 | Nicole Zaha | Psychologist | 130 S B St, Tustin, CA 92780-3609 | 2007-08-13 |
| 1285846741 | Kevin Scott Thomas | Psychologist | 232 W Main St Ste 101, Tustin, CA 92780-7712 | 2007-05-04 |
| 1902931108 | Shirley Shih-i Liao | Psychologist | 17632 Irvine Blvd, #250, Tustin, CA 92780-3148 | 2007-02-21 |
| Find all providers in TUSTIN | ||||
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| 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.