| Phamily Love Foundation | |
|
611 Wilshire Blvd Ste 1002 Los Angeles CA 90017-2906 | |
| (949) 331-4559 | |
| (844) 522-5042 |
| Full Name | Phamily Love Foundation |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 611 Wilshire Blvd Ste 1002, Los Angeles, California |
| Authorized Official Name and Position | Shaelyn T Pham (CEO) |
| Authorized Official Contact | 9493314559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phamily Love Foundation 611 Wilshire Blvd Ste 1002 Los Angeles CA 90017-2906 Ph: (949) 331-4559 | Phamily Love Foundation 611 Wilshire Blvd Ste 1002 Los Angeles CA 90017-2906 Ph: (949) 331-4559 |
| NPI Number | 1316493125 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 5698129849 |
|---|---|
| Medicare Enrollment ID | O20230921003985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316493125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shaelyn T Pham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902073711 PECOS PAC ID: 9032563283 Enrollment ID: I20230921004089 |
Emq Hollygrove Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N El Centro Ave, Los Angeles, CA 90038 Phone: 323-463-2119 Fax: 323-463-0619 | |
Peter Lorber, M.d., A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Wilshire Blvd, Suite 814, Los Angeles, CA 90017 Phone: 213-481-0592 | |
Satish S. Kadaba, M.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E 3rd St, Suite 102, Los Angeles, CA 90022 Phone: 323-264-6296 Fax: 323-264-6297 | |
Foundations Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd Ste 420, Los Angeles, CA 90064 Phone: 888-800-5761 Fax: 818-530-7808 | |
Pch Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066 Phone: 310-566-7625 Fax: 310-566-7629 | |
Haleh Eghrari Psychology Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1314 Westwood Blvd, Suite 206, Los Angeles, CA 90024 Phone: 310-441-9550 Fax: 310-234-2682 | |
Douglas L. Gosney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Overland Ave, Suite 780, Los Angeles, CA 90064 Phone: 310-202-9382 |