Organization
OOTIFY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI SHARMA (CEO)
(424) 581-7276
Entity
Organization
Contact information
Practice address
2716 OCEAN PARK BLVD STE 3075, SANTA MONICA, CA 90405-5232
(424) 581-7276
Mailing address
12130 MILLENNIUM FL 3, LOS ANGELES, CA 90094-2945
(424) 581-7276
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/17/2020
Last updated
05/17/2020
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