Organization
HEADSPACE MEDICAL GROUP (CA), P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA SHTEMLER (NETWORK OPERATIONS MANAGER)
(855) 446-4374
Entity
Organization
Contact information
Practice address
595 MARKET ST STE 700, SAN FRANCISCO, CA 94105-2812
(855) 446-4374
(415) 891-0725
Mailing address
2417 MICHIGAN AVE, SANTA MONICA, CA 90404-4009
(855) 446-4374
(415) 704-3356
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
09/04/2025
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