# EM PSYCHE MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1114846573
- **Authorized official:** DR. CARLO REYES MD (PRESIDENT)
- **Authorized official phone:** (805) 253-2773

## Contact information

- **Practice address:** 2475 TOWNSGATE RD STE 200, WESTLAKE VILLAGE, CA 91361-5995
- **Practice address phone:** (805) 253-2773
- **Practice address fax:** (877) 693-1682
- **Mailing address:** 2475 TOWNSGATE RD STE 200, WESTLAKE VILLAGE, CA 91361-5995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2026
- **Last updated:** 07/10/2026
