Organization
HEADSPACE MEDICAL GROUP (CA), P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA SHTEMLER (NETWORK OPERATIONS MANAGER)
(925) 212-7507
Entity
Organization
Contact information
Practice address
2417 MICHIGAN AVE, SANTA MONICA, CA 90404-4009
(855) 446-4374
Mailing address
PO BOX 31001-4089, PASADENA, CA 91110-4089
(919) 815-4637
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
06/18/2025
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