Moment Health
Psychiatry & Neurology, Psychiatry in Santa Monica, CA. Organization (NPI-2).
NPI number1124644166
StatusActive
Last updated in NPPESJun 24, 2020
Details
- NPI
- 1124644166
- Entity type
- Organization (NPI-2)
- Legal business name
- Moment Health
- Organization subpart
- No
- Enumeration date
- Jun 24, 2020
- Certification date
- Jun 24, 2020
- Last updated
- Jun 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – |
Practice location
2730 Wilshire Blvd Ste 350Santa Monica, CA 90403-4752
Phone 424-532-1552 · Fax 888-247-7249
Mailing address
2730 Wilshire Blvd Ste 350Santa Monica, CA 90403-4752
Phone 424-532-1552
Authorized official
Stacy Cohen
Psychiatrist
4245321552
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