SearchCalifornia1041C0700X

Devi Wise, LCSW

NPI 1457880320 · on the registry since 2017

Practice

Address
12625 Frederick St Ste I5-133
Moreno Valley, CA 92553
Phone
(909) 225-6920
Organisation at this address
Hyun J. Shin,
Cloud Holdings, Llc
National Vision, Inc.
Sang G Shin, Dds, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California