# WELLPSYCHE SEATTLE PC

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

## Provider details

- **NPI number:** 1235792326
- **Authorized official:** DR. ADEL MOSTAFAVI MD (CEO)
- **Authorized official phone:** (949) 400-2488

## Contact information

- **Practice address:** 801 2ND AVE STE 800, SEATTLE, WA 98104-1573
- **Practice address phone:** (310) 871-0670
- **Mailing address:** 1055 WILSHIRE BLVD STE 1705, LOS ANGELES, CA 90017-5600
- **Mailing address phone:** (310) 871-0670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2019
- **Last updated:** 04/15/2019
