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Westside Neurotherapeutics, LLC.

Psychologist, Cognitive & Behavioral in Los Angeles, CA. Organization (NPI-2).

NPI number1114355237
StatusActive
Last updated in NPPESOct 29, 2013

Details

NPI
1114355237
Entity type
Organization (NPI-2)
Legal business name
Westside Neurotherapeutics, LLC.
Organization subpart
No
Enumeration date
Oct 29, 2013
Last updated
Oct 29, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TB0200X Psychologist, Cognitive & BehavioralPSY17275CAYes

Practice location

10850 Wilshire Blvd
1260
Los Angeles, CA 90024-4305

Phone 310-946-0008 · Fax 310-209-0444

Mailing address

10850 Wilshire Blvd
1260
Los Angeles, CA 90024-4305

Phone 310-946-0008 · Fax 310-209-0444

Authorized official

Tanya Vapnik
President
3109460008

Is something wrong?

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