Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mediverse Medical Network

Organization Behavioral Neurology & Neuropsychiatry Physician · NPI 1487386488

Mediverse Medical Network is a Behavioral Neurology & Neuropsychiatry Physician in Anaheim, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

1910 S Union St Unit 1082
Anaheim, CA 92805-7430
Phone: (818) 626-4883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1487386488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cristina Enriquez — President · (818) 626-4883
NPI enumeratedJune 28, 2022
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address1910 S Union St Unit 1082, Anaheim, CA 92805-7430