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Organization
MBA PSYCHIATRIC SERVICES, INC.
Active
Organization
MBA PSYCHIATRIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADY MUSHER MD (PRESIDENT)
(323) 655-3747
Entity
Organization
Contact information
Practice address
6221 WILSHIRE BLVD, SUITE 401B, LOS ANGELES, CA 90048-5201
(323) 655-3747
(323) 932-0133
Mailing address
6221 WILSHIRE BLVD, SUITE 401B, LOS ANGELES, CA 90048-5201
(323) 655-3747
(323) 932-0133
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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