Organization
MEMORY PSYCHIATRIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKAS DUVVURI MD (OWNER)
(800) 275-3243
Entity
Organization
Contact information
Practice address
4929 WILSHIRE BLVD, SUITE 510, LOS ANGELES, CA 90010-3808
(800) 275-3243
Mailing address
4929 WILSHIRE BLVD, SUITE 510, LOS ANGELES, CA 90010-3808
(800) 275-3243
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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