| 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 | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2024-04-01 |