| Eye4peace Llc | |
|
900 W Temple St 307b Los Angeles CA 90012-4542 | |
| (818) 858-6031 | |
| Not Available |
| Full Name | Eye4peace Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 900 W Temple St, Los Angeles, California |
| Authorized Official Name and Position | Tracy Nibo (OWNER) |
| Authorized Official Contact | 8188586031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eye4peace Llc 900 W Temple St 307b Los Angeles CA 90012-4542 Ph: (818) 858-6031 | Eye4peace Llc 900 W Temple St 307b Los Angeles CA 90012-4542 Ph: (818) 858-6031 |
| NPI Number | 1578274379 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578274379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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