| Luis Vallejo, M.d., Inc. | |
|
125 S Crescent Dr Apt 6 Beverly Hills CA 90212-3115 | |
| (281) 655-7674 | |
| Not Available |
| Full Name | Luis Vallejo, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 125 S Crescent Dr Apt 6, Beverly Hills, California |
| Authorized Official Name and Position | Luis Julian Vallejo (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2816557674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Vallejo, M.d., Inc. 125 S Crescent Dr Apt 6 Beverly Hills CA 90212-3115 Ph: (281) 655-7674 | Luis Vallejo, M.d., Inc. 125 S Crescent Dr Apt 6 Beverly Hills CA 90212-3115 Ph: (281) 655-7674 |
| NPI Number | 1285386854 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285386854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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