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Organization
DRAGONFLY MEDICAL
Active
Organization
DRAGONFLY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISHI KHATRI (CEO)
(310) 571-5957
Entity
Organization
Contact information
Practice address
3200 SANTA MONICA BLVD STE 204, SANTA MONICA, CA 90404-2639
(310) 896-5183
(844) 399-5022
Mailing address
3200 SANTA MONICA BLVD STE 204, SANTA MONICA, CA 90404-2639
(310) 896-5183
(844) 399-5022
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/23/2020
Last updated
04/15/2021
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