Organization
GATEWAY HOSPITAL AND NENTAL HEALYH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA BUSSEL MD (PSYCHIATRIST)
(310) 948-0602
Entity
Organization
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
Mailing address
344 HAUSER BLVD APT 220 BLDG 5, LOS ANGELES, CA 90036-3284
(310) 948-0602
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
A73015
CA
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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