Remedium | |
1000 N Sepulveda Blvd Ste 210 Manhattan Beach CA 90266-5973 | |
(310) 372-9900 | |
Not Available |
Full Name | Remedium |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1000 N Sepulveda Blvd Ste 210, Manhattan Beach, California |
Authorized Official Name and Position | Amanda Wilkman (PRESIDENT) |
Authorized Official Contact | 3103729900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Remedium 206 15th St Apt B Manhattan Beach CA 90266-4695 Ph: () - | Remedium 1000 N Sepulveda Blvd Ste 210 Manhattan Beach CA 90266-5973 Ph: (310) 372-9900 |
NPI Number | 1881210706 |
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Provider Enumeration Date | 06/17/2020 |
Last Update Date | 01/04/2021 |
Certification Date | 01/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881210706 | NPI | - | NPPES |
1326462672 | Other | NPI TYPE 1 | |
1437329869 | Other | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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