| South Bay Psychiatric Medical Group, Inc. | |
|
3812 Sepulveda Blvd Suite 340 Torrance CA 90505-2479 | |
| (310) 326-5102 | |
| (310) 303-7906 |
| Full Name | South Bay Psychiatric Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3812 Sepulveda Blvd, Torrance, California |
| Authorized Official Name and Position | Edwin George Caine (OWNER) |
| Authorized Official Contact | 3103265102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Psychiatric Medical Group, Inc. 3812 Sepulveda Blvd Suite 340 Torrance CA 90505-2479 Ph: (310) 326-5102 | South Bay Psychiatric Medical Group, Inc. 3812 Sepulveda Blvd Suite 340 Torrance CA 90505-2479 Ph: (310) 326-5102 |
| NPI Number | 1770655714 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 05/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770655714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G12654 (California) | Primary |
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