# DR. NEEVON C. ESMAILI, MD, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mental Fitness Clinic Child, Adolescent & Adult Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245609627
- **Authorized official:** DR. NEEVON CARL ESMAILI MD (PRESIDENT)
- **Authorized official phone:** (310) 935-0032

## Contact information

- **Practice address:** 11400 W OLYMPIC BLVD STE 660, LOS ANGELES, CA 90064-1679
- **Practice address phone:** (310) 935-0032
- **Practice address fax:** (310) 935-0042
- **Mailing address:** 11400 W OLYMPIC BLVD STE 660, LOS ANGELES, CA 90064-1679
- **Mailing address phone:** (310) 935-0032
- **Mailing address fax:** (310) 935-0042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A115518 | CA | Yes |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 03/26/2021