| So Cal Mental Health, P.c. | |
|
16260 Ventura Blvd Ste 630 Encino CA 91436-2255 | |
| (747) 998-0394 | |
| Not Available |
| Full Name | So Cal Mental Health, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 16260 Ventura Blvd Ste 630, Encino, California |
| Authorized Official Name and Position | Timothy Welke (DIRECTOR) |
| Authorized Official Contact | 7479980386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| So Cal Mental Health, P.c. 16260 Ventura Blvd Ste 630 Encino CA 91436-2255 Ph: (747) 998-0394 | So Cal Mental Health, P.c. 16260 Ventura Blvd Ste 630 Encino CA 91436-2255 Ph: (747) 998-0394 |
| NPI Number | 1457999328 |
|---|---|
| Provider Enumeration Date | 12/11/2019 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457999328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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