# FIELD TRIP MEDICAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063023133
- **Authorized official:** DR. RANDALL ALAN SCHARLACH M.D. (PRESIDENT & MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 449-2700

## Contact information

- **Practice address:** 1538 20TH ST \# 200, SANTA MONICA, CA 90404-3408
- **Practice address phone:** (833) 222-0084
- **Mailing address:** 1538 20TH ST \# 200, SANTA MONICA, CA 90404-3408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2020
- **Last updated:** 08/12/2020