| Calming Goat Addiction Medicine Group | |
|
6801 Park Ter # 530b Los Angeles CA 90045-1543 | |
| (424) 376-3444 | |
| (424) 298-4156 |
| Full Name | Calming Goat Addiction Medicine Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6801 Park Ter # 530b, Los Angeles, California |
| Authorized Official Name and Position | Soroya Bacchus (COO) |
| Authorized Official Contact | 3109016262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calming Goat Addiction Medicine Group Po Box 1085 Torrance CA 90505-0085 Ph: (888) 448-4628 | Calming Goat Addiction Medicine Group 6801 Park Ter # 530b Los Angeles CA 90045-1543 Ph: (424) 376-3444 |
| NPI Number | 1174081327 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 07/29/2020 |
| Certification Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174081327 | NPI | - | NPPES |
| G74246 | Other | CA | MEDICAL LICENSE |
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