SPARK PHYSICIAN ASSISTANT SERVICES, INC.

SAN PEDRO, CA
NPI1760093454
Doing Business AsSPARK PSYCHEDELIC THERAPY
Doing Business AsSPARK THERAPEUTICS
Entity TypeOrganization
Authorized ContactCHRISTINA RIBAO
Owner
323-379-3611
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2020-08-14
Last Update Date2020-09-08
Business Address
SPARK PHYSICIAN ASSISTANT SERVICES, INC.
3031 S DENISON AVE
SAN PEDRO, CA 90731-6703
Phone number: 323-379-3611
Mailing Address
SPARK PHYSICIAN ASSISTANT SERVICES, INC.
3031 S DENISON AVE
SAN PEDRO, CA 90731-6703
Phone number: 786-599-0360