| Hope Psychiatricare Inc | |
|
122 E 5th St Los Angeles CA 90013 | |
| (877) 811-1532 | |
| (323) 210-7987 |
| Full Name | Hope Psychiatricare Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 122 E 5th St, Los Angeles, California |
| Authorized Official Name and Position | Ekram Selem (CFO) |
| Authorized Official Contact | 3105972081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Psychiatricare Inc Po Box 451249 Los Angeles CA 90045-8513 Ph: (877) 515-8113 | Hope Psychiatricare Inc 122 E 5th St Los Angeles CA 90013 Ph: (877) 811-1532 |
| NPI Number | 1679314025 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 7214465202 |
|---|---|
| Medicare Enrollment ID | O20250103001019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679314025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Thomas Earwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588629414 PECOS PAC ID: 7214937945 Enrollment ID: I20240507003813 |
| Provider Name | Dana Wiley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427006808 PECOS PAC ID: 5799726923 Enrollment ID: I20240719003312 |
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