| Ementalhealthcenter Inc | |
|
11500 W Olympic Blvd Ste 400 Los Angeles CA 90064-1525 | |
| (310) 621-4755 | |
| (323) 488-9569 |
| Full Name | Ementalhealthcenter Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11500 W Olympic Blvd Ste 400, Los Angeles, California |
| Authorized Official Name and Position | Franklin Carvajal (CEO) |
| Authorized Official Contact | 3106214755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ementalhealthcenter Inc 3567 Wesley St Culver City CA 90232-2432 Ph: (310) 621-4755 | Ementalhealthcenter Inc 11500 W Olympic Blvd Ste 400 Los Angeles CA 90064-1525 Ph: (310) 621-4755 |
| NPI Number | 1043764335 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043764335 | NPI | - | NPPES |
| 9672443 | Medicaid | CA | |
| 1063608230 | Other | CA | PSYCHOLOGIST NPI |
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