| Psychbright Health | |
|
1180 S Beverly Dr Ste 700 Los Angeles CA 90035-1151 | |
| (714) 742-3257 | |
| Not Available |
| Full Name | Psychbright Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1180 S Beverly Dr Ste 700, Los Angeles, California |
| Authorized Official Name and Position | Daniel Duel (PRESIDENT/CEO) |
| Authorized Official Contact | 7147423257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychbright Health 9531 Santa Monica Blvd # 310 Beverly Hills CA 90210-4503 Ph: () - | Psychbright Health 1180 S Beverly Dr Ste 700 Los Angeles CA 90035-1151 Ph: (714) 742-3257 |
| NPI Number | 1225742240 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Medicare PECOS PAC ID | 9537533724 |
|---|---|
| Medicare Enrollment ID | O20230330001918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225742240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Daniel Abraham Duel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184100752 PECOS PAC ID: 0941624415 Enrollment ID: I20200914002065 |
| Provider Name | Mariam Fazil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235827429 PECOS PAC ID: 5597125849 Enrollment ID: I20230718002080 |
| Provider Name | Shahrzad Shadmani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780251132 PECOS PAC ID: 2567904790 Enrollment ID: I20240604000524 |
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