Organization
ROOTS ADDICTION & PSYCHIATRY MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREI DOKUKIN MD (MD/ CEO)
(917) 647-5031
Entity
Organization
Contact information
Practice address
3939 ATLANTIC AVE STE 102, LONG BEACH, CA 90807-3535
(562) 583-9345
(949) 502-8887
Mailing address
3939 ATLANTIC AVE STE 102, LONG BEACH, CA 90807-3535
(562) 583-9345
(949) 502-8887
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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