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Organization

PSYCHEDELIC MEDICAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH HEINZERLING MD (DIRECTOR)
(310) 393-7129
Entity
Organization

Contact information

Practice address
1247 7TH ST STE 300, SANTA MONICA, CA 90401-1644
(310) 393-7129
(310) 564-7839
Mailing address
1247 7TH ST STE 300, SANTA MONICA, CA 90401-1644
(310) 393-7129
(310) 564-7839

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
06/29/2023
Last updated
06/29/2023
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