Organization
CHAMPION MEDICAL GROUP
Active
Other names
Universal Psychiatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
STUART L ZUBRICK X PH.D (PRESIDENT)
(213) 739-0019
Entity
Organization
Contact information
Practice address
3250 WILSHIRE BLVD, SUITE 930, LOS ANGELES, CA 90010-1577
(213) 739-0019
(213) 739-0091
Mailing address
3250 WILSHIRE BLVD, SUITE 930, LOS ANGELES, CA 90010-1577
(213) 739-0019
(213) 739-0091
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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