| Mental Fitness Clinic Child, Adolescent & Adult Health | |
|
11400 W Olympic Blvd Ste 660 Los Angeles CA 90064-1679 | |
| (310) 935-0032 | |
| (310) 935-0042 |
| Full Name | Mental Fitness Clinic Child, Adolescent & Adult Health |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 11400 W Olympic Blvd Ste 660, Los Angeles, California |
| Authorized Official Name and Position | Neevon Carl Esmaili (PRESIDENT) |
| Authorized Official Contact | 3109350032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Fitness Clinic Child, Adolescent & Adult Health 11400 W Olympic Blvd Ste 660 Los Angeles CA 90064-1679 Ph: (310) 935-0032 | Mental Fitness Clinic Child, Adolescent & Adult Health 11400 W Olympic Blvd Ste 660 Los Angeles CA 90064-1679 Ph: (310) 935-0032 |
| NPI Number | 1245609627 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 03/26/2021 |
| Certification Date | 03/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245609627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A115518 (California) | Primary |
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