| Functional Medicine And Psychiatry Inc. | |
|
4358 Chevy Chase Dr La Canada Flintridge CA 91011-3203 | |
| (626) 449-7000 | |
| Not Available |
| Full Name | Functional Medicine And Psychiatry Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4358 Chevy Chase Dr, La Canada Flintridge, California |
| Authorized Official Name and Position | John Lee (PRESIDENT) |
| Authorized Official Contact | 6264497000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Medicine And Psychiatry Inc. 115 W California Blvd Unit 9001 Pasadena CA 91105-3005 Ph: (626) 449-7000 | Functional Medicine And Psychiatry Inc. 4358 Chevy Chase Dr La Canada Flintridge CA 91011-3203 Ph: (626) 449-7000 |
| NPI Number | 1043953235 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043953235 | NPI | - | NPPES |
| 1689618464 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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