Organization
EXPRESS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BROOKS (PRESIDENT)
(866) 866-1466
Entity
Organization
Contact information
Practice address
21839 SADDLE PEAK ROAD, TOPANGA, CA 90290
(668) 866-1466
Mailing address
14320 VENTURA BLVD # 434, SHERMAN OAKS, CA 91423-2717
(668) 866-1466
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EIN
—
CA
Enumeration date
09/04/2020
Last updated
09/15/2020
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