Minerva Mental Health P.C.
Psychiatry & Neurology, Psychiatry in Los Angeles, CA. Organization (NPI-2).
NPI number1982140901
StatusActive
Last updated in NPPESJan 13, 2017
Details
- NPI
- 1982140901
- Entity type
- Organization (NPI-2)
- Legal business name
- Minerva Mental Health P.C.
- Organization subpart
- No
- Enumeration date
- Jan 13, 2017
- Last updated
- Jan 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A91413 | CA | Yes |
Practice location
4448 Ambrose AveLos Angeles, CA 90027-2115
Phone 323-644-1998 · Fax 323-644-2600
Mailing address
4448 Ambrose AveLos Angeles, CA 90027-2115
Phone 323-644-1998 · Fax 323-644-2600
Authorized official
Milica Stefanovic
President
3236441998
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