| Express Healthcare Llc | |
|
21839 Saddle Peak Road Topanga CA 90290 | |
| (668) 866-1466 | |
| Not Available |
| Full Name | Express Healthcare Llc |
|---|---|
| Speciality | Psychologist |
| Location | 21839 Saddle Peak Road, Topanga, California |
| Authorized Official Name and Position | Paul Brooks (PRESIDENT) |
| Authorized Official Contact | 8668661466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Healthcare Llc 14320 Ventura Blvd # 434 Sherman Oaks CA 91423-2717 Ph: (668) 866-1466 | Express Healthcare Llc 21839 Saddle Peak Road Topanga CA 90290 Ph: (668) 866-1466 |
| NPI Number | 1356955595 |
|---|---|
| Provider Enumeration Date | 09/04/2020 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356955595 | NPI | - | NPPES |
| EIN | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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