Organization
PACIFIC HEALTH GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN SHAYWITZ MD (MEDICAL DIRECTOR)
(310) 687-6865
Entity
Organization
Contact information
Practice address
9120 WOODMAN AVE, ARLETA, CA 91331-6405
(203) 823-8588
Mailing address
203 S ORANGE DR, LOS ANGELES, CA 90036-3010
(203) 823-8588
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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