| Wondermed Of Texas, P.a. | |
|
828 Crestmoore Pl Venice CA 90291-4931 | |
| (424) 410-8475 | |
| Not Available |
| Full Name | Wondermed Of Texas, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 828 Crestmoore Pl, Venice, California |
| Authorized Official Name and Position | Abraham Malkin (PRESIDENT) |
| Authorized Official Contact | 7862695501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wondermed Of Texas, P.a. 701 Tillery St Ste 12 Austin TX 78702-3751 Ph: () - | Wondermed Of Texas, P.a. 828 Crestmoore Pl Venice CA 90291-4931 Ph: (424) 410-8475 |
| NPI Number | 1801508254 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 12/16/2022 |
| Certification Date | 12/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801508254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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