Organization
CLARE MATRIX
Active
Other names
Pico Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
MATT WALTON (INTERIM EXECUTIVE OFFICER)
(310) 314-6200
Entity
Organization
Contact information
Practice address
1002 PICO BLVD, SANTA MONICA, CA 90405-1416
(310) 314-6200
(310) 450-2024
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
(310) 450-2024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
09/20/2024
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