Individual
MR. JUSTIN SCOTT ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
12301 WILSHIRE BLVD STE 512, LOS ANGELES, CA 90025-1053
(888) 684-2779
Mailing address
12301 WILSHIRE BLVD STE 512, LOS ANGELES, CA 90025-1053
(888) 684-2779
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020363
CA
Other
Enumeration date
03/22/2022
Last updated
06/16/2022
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