Resurface Group Of La | |
2001 Wilshire Blvd Ste 302 Santa Monica CA 90403-5685 | |
(949) 610-2978 | |
Not Available |
Full Name | Resurface Group Of La |
---|---|
Speciality | Counselor - Mental Health |
Location | 2001 Wilshire Blvd Ste 302, Santa Monica, California |
Authorized Official Name and Position | Jason Brumback (PRESIDENT) |
Authorized Official Contact | 5093190845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Resurface Group Of La 2900 Bristol St Ste B320 Costa Mesa CA 92626-5987 Ph: (949) 610-2978 | Resurface Group Of La 2001 Wilshire Blvd Ste 302 Santa Monica CA 90403-5685 Ph: (949) 610-2978 |
NPI Number | 1588333009 |
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Provider Enumeration Date | 09/08/2021 |
Last Update Date | 07/24/2024 |
Certification Date | 07/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588333009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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