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Organization

SQ MEDICAL, INC.

Active
Other names
Camden Medical
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRITTANY SALAZAR (DIRECTOR OF FINANCE)
(424) 320-4859
Entity
Organization

Contact information

Practice address
10780 SANTA MONICA BLVD STE 105, LOS ANGELES, CA 90025-7613
(844) 422-6336
(888) 887-2955
Mailing address
10780 SANTA MONICA BLVD STE 105, LOS ANGELES, CA 90025-7613
(844) 422-6336
(888) 887-2955

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
133V00000X
Registered Dietitian
207RA0401X
Addiction Medicine (Internal Medicine) Physician
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
05/31/2022
Last updated
05/31/2022
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