Individual
SYVRANT GENISYS EXXODUS TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LPT
Contact information
Practice address
679 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90005-1355
(213) 639-2500
Mailing address
679 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90005-1355
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37590
CA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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