Organization
SOCAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SCHOSER (REVENUE CYCLE MANAGER)
(323) 364-6489
Entity
Organization
Contact information
Practice address
8207 MULHOLLAND DR, LOS ANGELES, CA 90046-1132
(800) 724-8207
(800) 729-8207
Mailing address
6053 BRISTOL PKWY, CULVER CITY, CA 90230-6601
(323) 364-6489
(800) 729-8207
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
35886
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
66975
CA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
136475
CA
Other
Enumeration date
10/29/2015
Last updated
01/18/2022
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