Organization
MEDICAL AND BEHAVIORAL CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH J KAMALNATH M.D. (PRESIDENT)
(310) 592-2501
Entity
Organization
Contact information
Practice address
415 GAYLEY AVE, APT #304, LOS ANGELES, CA 90024-2008
(310) 592-2501
Mailing address
415 GAYLEY AVE, APT #304, LOS ANGELES, CA 90024-2008
(310) 592-2501
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
A38620
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A38620
CA
2084F0202X
Forensic Psychiatry Physician
Primary
A46409
CA
2084P0800X
Psychiatry Physician
A46409
CA
2084P0802X
Addiction Psychiatry Physician
A46409
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A46409
CA
2084P0805X
Geriatric Psychiatry Physician
A46409
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
A46409
CA
208VP0000X
Pain Medicine Physician
A46409
CA
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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