| Field Trip Medical Inc. | |
|
1538 20th St # 200 Santa Monica CA 90404-3408 | |
| (833) 222-0084 | |
| Not Available |
| Full Name | Field Trip Medical Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1538 20th St # 200, Santa Monica, California |
| Authorized Official Name and Position | Randall Alan Scharlach (PRESIDENT & MEDICAL DIRECTOR) |
| Authorized Official Contact | 8184492700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Field Trip Medical Inc. 1538 20th St # 200 Santa Monica CA 90404-3408 Ph: () - | Field Trip Medical Inc. 1538 20th St # 200 Santa Monica CA 90404-3408 Ph: (833) 222-0084 |
| NPI Number | 1063023133 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063023133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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