Organization · Type 2 NPI
Socal Medical Group
Addiction Medicine (Family Medicine) Physician · Los Angeles, CA
NPI number
1679945695
Active
Practice location
8207 Mulholland Dr
Los Angeles, CA 90046-1132
Fax (800) 729-8207
Mailing address
6053 Bristol Pkwy
Culver City, CA 90230-6601
Other practice locations
- 8207 Mulholland Dr, Los Angeles, CA 90046-1132 · (323) 364-6489
- 301 Science Dr Ste 210, Moorpark, CA 93021-0801 · (805) 530-5301
- 6053 Bristol Pkwy, Culver City, CA 90230-6601 · (323) 412-9840
- 31275 Bailard Rd, Malibu, CA 90265-2605 · (310) 457-2695
- 3821 Marks Rd, Agoura Hills, CA 91301-3648 · (818) 722-9943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 35886 (CA) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 66975 (CA) |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 136475 (CA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
3 other providers at this address
Other addiction medicine (family medicine) physician providers in Los Angeles
About NPI 1679945695
Socal Medical Group's National Provider Identifier is 1679945695, issued on Oct 29, 2015. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 18, 2022.