Organization
EATING DISORDER INSTITUTE OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOHAR S SHINDE M.D. (OWNER)
(818) 956-0101
Entity
Organization
Contact information
Practice address
6425 SAN FERNANDO RD, GLENDALE, CA 91201-3624
(818) 956-0101
(818) 956-1413
Mailing address
6425 SAN FERNANDO RD, GLENDALE, CA 91201-3624
(818) 956-0101
(818) 956-1413
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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