| NPI | 1134691124 |
|---|---|
| Doing Business As | SOCAL BEHAVIORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GINGER HULST Co Owner 310-698-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 163WP0000X Registered Nurse, Pain Management | |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2026-03-24 |