Memory Psychiatric Services Pc

Specialty details in registry · Los Angeles, CA

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At a glance

4929 Wilshire Blvd, Los Angeles, CA 90010-3808

NPPES record updated Nov 15, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4929 Wilshire Blvd Suite 510
Los Angeles, CA 90010-3808
Professional details: NPI, taxonomy & registry record
NPI1245772771
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
364SP0808X
Enumeration date
Nov 15, 2016
Record updated
Nov 15, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

363LP0808X

Specialty details in registry

364SP0808X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4929 Wilshire Blvd
Suite 510
Los Angeles, CA 90010-3808
Phone
(800) 275-3243
Mailing address
4929 WILSHIRE BLVD
SUITE 510
LOS ANGELES, CA 900103808
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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