Organization
COLE J MARTA MD INC
Active
Other names
California Center for Psychedelic Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
COLE MARTA MD (MEDICAL DIRECTOR)
(818) 815-1237
Entity
Organization
Contact information
Practice address
522 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(213) 444-5309
(213) 608-0121
Mailing address
522 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(213) 444-5309
(213) 608-0121
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
04/10/2024
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