| West Side Mental Health Services | |
|
1749 14th St Santa Monica CA 90404-4342 | |
| (424) 581-4800 | |
| (424) 581-6458 |
| Full Name | West Side Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1749 14th St, Santa Monica, California |
| Authorized Official Name and Position | Angeline Loch (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 3233349000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Side Mental Health Services 1453 16th St Santa Monica CA 90404-2715 Ph: (310) 264-6646 | West Side Mental Health Services 1749 14th St Santa Monica CA 90404-4342 Ph: (424) 581-4800 |
| NPI Number | 1376800722 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376800722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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