Organization · Type 2 NPI
Oceans Edge Wellness Inc
Addiction Medicine (Internal Medicine) Physician · San Pedro, CA
Practice location
1420 W 7th St
San Pedro, CA 90732-3507
Mailing address
1816 S Anchovy Ave
San Pedro, CA 90732-4108
Other practice locations
- 1816 S Anchovy Ave, San Pedro, CA 90732-4108 · (310) 623-0502
- 1816 S Anchovy Ave, San Pedro, CA 90732-4108 · (310) 623-0502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | None listed |
| Addiction Psychiatry Physician | 2084P0802X | None listed |
| Child & Adolescent Psychiatry Physician | 2084P0804X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
About NPI 1942021498
Oceans Edge Wellness Inc's National Provider Identifier is 1942021498, issued on Oct 17, 2024. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in San Pedro, CA. The record was last updated on Oct 17, 2024.