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Socal Medical Group
Addiction Medicine (Psychiatry & Neurology) Physician in Los Angeles, California
NPI 1679945695

Socal Medical Group is an Addiction Medicine (Psychiatry & Neurology) Physician based in Culver City, CA and is specialized in Addiction Medicine. Socal Medical Group practices in Los Angeles, CA. The NPI Number for Socal Medical Group is 1679945695 and holds a License No. 35886 (California).

The current practice location address for Socal Medical Group is 8207 Mulholland Dr, Los Angeles, CA and can be reached out via phone at 800-724-8207 and via fax at 800-729-8207.

Location: 8207 Mulholland Dr, Los Angeles, CA, 90230-6601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679945695
Provider Name
Socal Medical Group
Credential
Provider Entity Type
Organization
Address
8207 Mulholland Dr, Los Angeles, CA, 90230-6601
Phone Number
800-724-8207
Fax Number
800-729-8207
Provider Enumeration Date
10/29/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
8207 Mulholland Dr
City
Los Angeles
State
California
Zip
90046-1132
Phone Number
800-724-8207
Fax Number
800-729-8207
person
Provider Business Mailing Address Details
Address
8207 Mulholland Dr
City
Los Angeles
State
California
Zip
90046-1132
Phone Number
800-724-8207
Fax Number
800-729-8207
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
136475 (California)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
66975 (California)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
35886 (California)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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