Neuro Wellness Spa | |
1101 N Sepulveda Blvd Ste 201 Manhattan Beach CA 90266-5963 | |
(310) 545-4450 | |
(310) 564-2295 |
Full Name | Neuro Wellness Spa |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1101 N Sepulveda Blvd Ste 201, Manhattan Beach, California |
Authorized Official Name and Position | Scott Dohren (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 8587352472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Neuro Wellness Spa 1101 N Sepulveda Blvd Ste 201 Manhattan Beach CA 90266-5963 Ph: (310) 545-4450 | Neuro Wellness Spa 1101 N Sepulveda Blvd Ste 201 Manhattan Beach CA 90266-5963 Ph: (310) 545-4450 |
NPI Number | 1003394149 |
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Provider Enumeration Date | 07/31/2018 |
Last Update Date | 06/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003394149 | NPI | - | NPPES |
1811442767 | Other | CA | NPPES |
1497899728 | Other | CA | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | G78080 (California) | Primary |
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