Provider Demographics
NPI:1336011097
Name:AM-J BEHAVIORAL HEALTH PSYCHIATRY SERVICES
Entity type:Organization
Organization Name:AM-J BEHAVIORAL HEALTH PSYCHIATRY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:GONZALES
Authorized Official - Last Name:PAJARILLAGA-ENCELLO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:562-260-1288
Mailing Address - Street 1:818 MAGNOLIA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-3128
Mailing Address - Country:US
Mailing Address - Phone:562-260-1288
Mailing Address - Fax:
Practice Address - Street 1:1058 CAMDEN DR
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3704
Practice Address - Country:US
Practice Address - Phone:562-260-1288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Single Specialty