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Organization
MENDRIX MEDICAL ASSOCIATES INC
Active
Organization
MENDRIX MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACEY CALLISON (AUTHORIZED OFFICIAL)
(918) 237-1281
Entity
Organization
Contact information
Practice address
18726 S WESTERN AVE STE 320, GARDENA, CA 90248-3812
(310) 773-8975
(702) 977-1496
Mailing address
8601 LINCOLN BLVD # 180-567, LOS ANGELES, CA 90045-3554
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/07/2024
Last updated
04/09/2025
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