Organization
COMPREHENSIVE NEUROBEHAVIORAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MAMOUN M.D. (CEO)
(310) 440-9800
Entity
Organization
Contact information
Practice address
11911 SAN VICENTE BLVD, SUITE 250, LOS ANGELES, CA 90049-5086
(310) 440-9800
(310) 440-9810
Mailing address
149 S BARRINGTON AVE, SUITE 444, LOS ANGELES, CA 90049-3310
(310) 440-9800
(310) 440-9810
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A99637
CA
Other
Enumeration date
11/12/2008
Last updated
03/22/2013
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