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Organization

SUPPORTIVE CARE OF CALIFORNIA PC

Active
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Organization

SUPPORTIVE CARE OF CALIFORNIA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOV NEWMARK (PRESIDENT)
(718) 298-2753
Entity
Organization

Contact information

Practice address
633 W 5TH ST STE 2898, LOS ANGELES, CA 90071-2005
(866) 708-1240
Mailing address
27 RANDOLPH RD, HOWELL, NJ 07731-8611

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
04/27/2023
Last updated
04/27/2023
About Stedi
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