| Westwood Minds | |
|
10921 Wilshire Blvd Ste 409b Los Angeles CA 90024-4001 | |
| (310) 920-2016 | |
| Not Available |
| Full Name | Westwood Minds |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10921 Wilshire Blvd Ste 409b, Los Angeles, California |
| Authorized Official Name and Position | Je Deuk Ko (PRESIDENT) |
| Authorized Official Contact | 3109202016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westwood Minds 6200 Hollywood Blvd Apt 2628 Los Angeles CA 90028-6378 Ph: (310) 920-2016 | Westwood Minds 10921 Wilshire Blvd Ste 409b Los Angeles CA 90024-4001 Ph: (310) 920-2016 |
| NPI Number | 1376241919 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Medicare PECOS PAC ID | 7012355779 |
|---|---|
| Medicare Enrollment ID | O20240401003015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376241919 | NPI | - | NPPES |
| Provider Name | Je Deuk Ko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356792758 PECOS PAC ID: 4587952551 Enrollment ID: I20240411004882 |
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