Organization · Type 2 NPI
Brain Wave Psychiatry, PC
Psychiatric/Mental Health Nurse Practitioner · West Hollywood, CA
NPI number
1225924947
Active
Practice location
8605 Santa Monica Blvd, Pmb 326031
West Hollywood, CA 90069-4109
Mailing address
4403 Edam St
Lancaster, CA 93536-6875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1225924947
Brain Wave Psychiatry, PC's National Provider Identifier is 1225924947, issued on Jun 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Hollywood, CA. The record was last updated on Oct 22, 2025.