Organization
MIND HEALTH INSTITUTE SANTA MONICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN DAVIS M.D. (CO-FOUNDER)
(310) 988-9393
Entity
Organization
Contact information
Practice address
2730 WILSHIRE BLVD, #507, SANTA MONICA, CA 90403-4743
(310) 988-9393
Mailing address
2730 WILSHIRE BLVD, #507, SANTA MONICA, CA 90403-4743
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A108035
CA
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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