| Tolwin Psychiatric Medical Group Inc | |
|
5000 Overland Ave Ste 108 Culver City CA 90230-4969 | |
| (310) 280-9670 | |
| (310) 280-9675 |
| Full Name | Tolwin Psychiatric Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5000 Overland Ave Ste 108, Culver City, California |
| Authorized Official Name and Position | Michael Tolwin (PRESIDENT) |
| Authorized Official Contact | 3102809670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tolwin Psychiatric Medical Group Inc Po Box 34841 Los Angeles CA 90034-0841 Ph: (310) 280-9670 | Tolwin Psychiatric Medical Group Inc 5000 Overland Ave Ste 108 Culver City CA 90230-4969 Ph: (310) 280-9670 |
| NPI Number | 1740227545 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/04/2021 |
| Certification Date | 08/04/2021 |
| Medicare PECOS PAC ID | 9830127414 |
|---|---|
| Medicare Enrollment ID | O20050803001265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740227545 | NPI | - | NPPES |
| GPS000990 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | FNP14380 (California) | Primary |
| Provider Name | Anna I Lau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942240882 PECOS PAC ID: 2961455019 Enrollment ID: I20050301000353 |
| Provider Name | Lisa Kahn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528008430 PECOS PAC ID: 9739111303 Enrollment ID: I20050902000543 |
| Provider Name | Robert Trichter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629019468 PECOS PAC ID: 1658495775 Enrollment ID: I20100826000398 |
| Provider Name | Michael Tolwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497797427 PECOS PAC ID: 3072543917 Enrollment ID: I20100902000724 |
| Provider Name | David B Light |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245669134 PECOS PAC ID: 4587893086 Enrollment ID: I20140203001467 |
| Provider Name | Marat Shpolyansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932450954 PECOS PAC ID: 3577629575 Enrollment ID: I20140623001540 |
| Provider Name | Dominique Tiera Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164946992 PECOS PAC ID: 1658622592 Enrollment ID: I20180917000896 |
| Provider Name | Artin Alexandrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417443136 PECOS PAC ID: 9335483031 Enrollment ID: I20181206003225 |
| Provider Name | Yujing Guo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508411588 PECOS PAC ID: 2860826179 Enrollment ID: I20200116000731 |
| Provider Name | Vartouhi Rosalie Mansourian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013620483 PECOS PAC ID: 6305218660 Enrollment ID: I20230214002786 |
| Provider Name | Brittany Louise Leos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881273001 PECOS PAC ID: 8527430750 Enrollment ID: I20230215002580 |
| Provider Name | John H Choe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215686167 PECOS PAC ID: 1456723550 Enrollment ID: I20230220001308 |
| Provider Name | Joseph Tolwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952083867 PECOS PAC ID: 9436503216 Enrollment ID: I20230927003072 |
| Provider Name | Wenting Wei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619575198 PECOS PAC ID: 9436593076 Enrollment ID: I20240222000370 |
| Provider Name | Vartan Bekerian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790558187 PECOS PAC ID: 0345682886 Enrollment ID: I20240529002088 |
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