| Joan Shaver | |
|
2730 Wilshire Blvd Ste 449 Santa Monica CA 90403-4745 | |
| (310) 453-6140 | |
| Not Available |
| Full Name | Joan Shaver |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2730 Wilshire Blvd Ste 449, Santa Monica, California |
| Authorized Official Name and Position | Joan Shaver (OWNER/FOUNDER) |
| Authorized Official Contact | 13104536140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joan Shaver 2730 Wilshire Blvd Ste 449 Santa Monica CA 90403-4745 Ph: (310) 453-6140 | Joan Shaver 2730 Wilshire Blvd Ste 449 Santa Monica CA 90403-4745 Ph: (310) 453-6140 |
| NPI Number | 1588041040 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588041040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7275 (California) | Primary |
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