Emh Psychiatry Inc | |
11835 W Olympic Blvd Ste 1265e Los Angeles CA 90064-5814 | |
(310) 273-4843 | |
(310) 273-5056 |
Full Name | Emh Psychiatry Inc |
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Speciality | Psychiatry & Neurology |
Location | 11835 W Olympic Blvd Ste 1265e, Los Angeles, California |
Authorized Official Name and Position | Brian Wen-long Wu (CEO & PRESIDENT) |
Authorized Official Contact | 3102734843 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Emh Psychiatry Inc 11835 W Olympic Blvd Ste 1265e Los Angeles CA 90064-5814 Ph: (310) 273-4843 | Emh Psychiatry Inc 11835 W Olympic Blvd Ste 1265e Los Angeles CA 90064-5814 Ph: (310) 273-4843 |
NPI Number | 1528639481 |
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Provider Enumeration Date | 07/01/2021 |
Last Update Date | 07/01/2021 |
Certification Date | 07/01/2021 |
Medicare PECOS PAC ID | 0244633345 |
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Medicare Enrollment ID | O20210727003585 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528639481 | NPI | - | NPPES |
A159332 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Anna H Jung |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306181193 PECOS PAC ID: 3870872682 Enrollment ID: I20161118001634 |
Provider Name | Brian Wen-long Wu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033637236 PECOS PAC ID: 2466879465 Enrollment ID: I20200903003355 |
Provider Name | Jessica Erene B Paz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326600289 PECOS PAC ID: 2567874258 Enrollment ID: I20201222002673 |
Provider Name | Yvonne Ann Offill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689316325 PECOS PAC ID: 3779960455 Enrollment ID: I20220518002433 |
Provider Name | Sylvia E Kim |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447788997 PECOS PAC ID: 6901272079 Enrollment ID: I20221013002986 |
Provider Name | Victoria Chigbu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659078426 PECOS PAC ID: 8224401237 Enrollment ID: I20230222000901 |
Provider Name | Karin S Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710662721 PECOS PAC ID: 5395186803 Enrollment ID: I20240515002589 |
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