Organization
WELLPSYCHE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL MOSTAFAVI (CEO)
(949) 400-2488
Entity
Organization
Contact information
Practice address
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3977
(949) 400-2488
Mailing address
1055 WILSHIRE BLVD STE 1705, LOS ANGELES, CA 90017-5600
(310) 871-0670
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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