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Organization
MANAGEDMED, INC.
Active
Organization
MANAGEDMED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH L. HIRSCH PH.D. (PSYCHOLOGIST)
(323) 934-3861
Entity
Organization
Contact information
Practice address
5455 WILSHIRE BLVD, SUITE 1903, LOS ANGELES, CA 90036-4201
(323) 934-3861
Mailing address
5455 WILSHIRE BLVD, SUITE 1903, LOS ANGELES, CA 90036-4201
(323) 934-3861
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 19483
CA
103TC0700X
Clinical Psychologist
Primary
PSY 7084
CA
207R00000X
Internal Medicine Physician
A65071
CA
207X00000X
Orthopaedic Surgery Physician
A18616
CA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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