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Organization
SOUTHERN CALIFORNIA PSYCHIATRIC GROUP, INC
Active
Organization
SOUTHERN CALIFORNIA PSYCHIATRIC GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHUVANESWARI NALLAMOTHU MD (PRESIDENT)
(951) 309-2140
Entity
Organization
Contact information
Practice address
28125 BRADLEY RD STE 220, SUN CITY, CA 92586-2288
(951) 309-2140
(951) 309-2141
Mailing address
28125 BRADLEY RD STE 220, SUN CITY, CA 92586-2288
(800) 519-7274
(951) 309-2141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
10/29/2019
Last updated
05/23/2020
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