# SOUTHERN CALIFORNIA PSYCHIATRIC GROUP, INC

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

## Provider details

- **NPI number:** 1285951871
- **Authorized official:** DR. BHUVANESWARI NALLAMOTHU M.D. (PRESIDENT)
- **Authorized official phone:** (951) 893-8838

## Contact information

- **Practice address:** 28125 BRADLEY RD STE 220, SUN CITY, CA 92586
- **Practice address phone:** (951) 309-2140
- **Practice address fax:** (951) 309-2141
- **Mailing address:** 28125 BRADLEY RD STE 220, SUN CITY, CA 92586-2288
- **Mailing address phone:** (951) 309-2140
- **Mailing address fax:** (951) 309-2141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 2084P0800X | Psychiatry Physician | A89852 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 05/23/2020