| Paragon Psychotherapy, Inc. | |
|
3727 W 6th St Suite 507 Los Angeles CA 90020-5105 | |
| (424) 257-0123 | |
| Not Available |
| Full Name | Paragon Psychotherapy, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3727 W 6th St, Los Angeles, California |
| Authorized Official Name and Position | Justin Choe (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4242570123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paragon Psychotherapy, Inc. 3727 W 6th St Suite 507 Los Angeles CA 90020-5105 Ph: (424) 257-0123 | Paragon Psychotherapy, Inc. 3727 W 6th St Suite 507 Los Angeles CA 90020-5105 Ph: (424) 257-0123 |
| NPI Number | 1578907937 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 04/29/2013 |
| Medicare PECOS PAC ID | 2264740919 |
|---|---|
| Medicare Enrollment ID | O20150930001964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578907937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY24390 (California) | Primary |
| Provider Name | Justin Y Choe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780716233 PECOS PAC ID: 4082876750 Enrollment ID: I20120426000249 |
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