Provider Demographics
NPI:1043856073
Name:OCEAN VIEW NEUROPSYCHIATRY
Entity Type:Organization
Organization Name:OCEAN VIEW NEUROPSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:YASER
Authorized Official - Last Name:ELATROZY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-903-3290
Mailing Address - Street 1:27068 LA PAZ RD STE 722
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3041
Mailing Address - Country:US
Mailing Address - Phone:949-903-3290
Mailing Address - Fax:949-315-3555
Practice Address - Street 1:1601 DOVE ST STE 276
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1431
Practice Address - Country:US
Practice Address - Phone:949-903-3290
Practice Address - Fax:949-424-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty