Psychedelic Medical Associates Pc
LBN: Psychedelic Medical Associates Pc
Psychedelic Medical Associates Pc is an health care organization with primary practice located at 1247 7Th St Ste 300 , Santa Monica CA 90401-1644. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Psychedelic Medical Associates Pc can be contacted via phone (310) 393-7129, or through Heinzerling, Keith via phone (310) 393-7129.
Contact Information
Primary practice address
1247 7Th St Ste 300
Santa Monica CA 90401-1644
Phone: (310) 393-7129
Fax: (310) 564-7839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X |
Profile Details
| NPI number | 1588341689 |
|---|---|
| LBN Legal business name | Psychedelic Medical Associates Pc |
| DBA Doing business as | |
| Authorized official | Heinzerling, Keith Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 29th, 2023 |
| Last updated | Jun 29th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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