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Organization
SOCAL BEHAVIORAL MEDICINE, INC.
Active
Organization
SOCAL BEHAVIORAL MEDICINE, INC.
Active
Other names
SoCal Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER HULST NP (CO-OWNER)
(310) 698-5252
Entity
Organization
Contact information
Practice address
1611 S PACIFIC COAST HWY STE 200D, REDONDO BEACH, CA 90277-5611
(310) 698-5252
Mailing address
10650 REAGAN ST UNIT 824, LOS ALAMITOS, CA 90720-8844
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
NULL
163WP0000X
Pain Management Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/01/2019
Last updated
03/24/2026
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