| Kelly Psychiatric Associates, Inc. | |
|
1230 Rosecrans Ave Ste 300 Manhattan Beach CA 90266-2494 | |
| (424) 269-0086 | |
| (844) 868-3841 |
| Full Name | Kelly Psychiatric Associates, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1230 Rosecrans Ave Ste 300, Manhattan Beach, California |
| Authorized Official Name and Position | Patrick Michael Kelly (PRESIDENT) |
| Authorized Official Contact | 4242690086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Psychiatric Associates, Inc. 1230 Rosecrans Ave Ste 300 Manhattan Beach CA 90266-2494 Ph: (424) 269-0086 | Kelly Psychiatric Associates, Inc. 1230 Rosecrans Ave Ste 300 Manhattan Beach CA 90266-2494 Ph: (424) 269-0086 |
| NPI Number | 1821515818 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821515818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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