| Neuro Wellness Spa, A Medical Pc | |
|
1101 N Sepulveda Blvd Ste 201 Manhattan Beach CA 90266-5963 | |
| (310) 545-4450 | |
| (310) 564-2295 |
| Full Name | Neuro Wellness Spa, A Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1101 N Sepulveda Blvd Ste 201, Manhattan Beach, California |
| Authorized Official Name and Position | Scott Dohren (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8587352472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Wellness Spa, A Medical Pc 1101 N Sepulveda Blvd Ste 201 Manhattan Beach CA 90266-5963 Ph: (310) 545-4450 | Neuro Wellness Spa, A Medical Pc 1101 N Sepulveda Blvd Ste 201 Manhattan Beach CA 90266-5963 Ph: (310) 545-4450 |
| NPI Number | 1003394149 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003394149 | NPI | - | NPPES |
| 1811442767 | Other | CA | NPPES |
| 1497899728 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G78080 (California) | Primary |
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