| Blue Ocean Mental Health | |
|
4143 Via Marina Apt 912 Marina Del Rey CA 90292-5308 | |
| (323) 553-1114 | |
| Not Available |
| Full Name | Blue Ocean Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4143 Via Marina Apt 912, Marina Del Rey, California |
| Authorized Official Name and Position | Esder Shin (NURSE PRACTITIONER) |
| Authorized Official Contact | 9177149696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ocean Mental Health 4143 Via Marina Apt 912 Marina Del Rey CA 90292-5308 Ph: () - | Blue Ocean Mental Health 4143 Via Marina Apt 912 Marina Del Rey CA 90292-5308 Ph: (323) 553-1114 |
| NPI Number | 1649989104 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649989104 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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