| Alternative Awakenings Psychiatry, A Professional Nursing Corporation | |
|
1849 Sawtelle Blvd Ste 610 Los Angeles CA 90025-7013 | |
| (530) 691-0194 | |
| Not Available |
| Full Name | Alternative Awakenings Psychiatry, A Professional Nursing Corporation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1849 Sawtelle Blvd Ste 610, Los Angeles, California |
| Authorized Official Name and Position | Julie Ann Therese De Los Santos (CEO) |
| Authorized Official Contact | 5306910194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alternative Awakenings Psychiatry, A Professional Nursing Corporation 8620 Belford Ave Apt 101 Westchester CA 90045-4746 Ph: (530) 691-0194 | Alternative Awakenings Psychiatry, A Professional Nursing Corporation 1849 Sawtelle Blvd Ste 610 Los Angeles CA 90025-7013 Ph: (530) 691-0194 |
| NPI Number | 1417768722 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417768722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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