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ARTEMIS MEDICAL GROUP INC. NPI 1144644170


NPI Information

NPI: 1144644170
Provider Name: ARTEMIS MEDICAL GROUP, INC.
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 05D2078105

Address:
770 WASHINGTON ST
SUITE 200
SAN DIEGO, CA
ZIP 92103
Phone: (858) 278-3636
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ARTEMIS MEDICAL GROUP, INC. is an addiction (substance use disorder) psychologist in San Diego, CA. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. ARTEMIS MEDICAL GROUP, INC. NPI is 1144644170. The provider is registered as an organization entity type.

The provider's business location address is:

770 WASHINGTON ST
SUITE 200
SAN DIEGO, CA
ZIP 92103-209
Phone: (858) 278-3636
Fax: (858) 278-3637

The provider's authorized official is Vishaal Mehra .
The authorized official title is President and has the following contact phone number (858) 278-3647.

The CLIA number assigned to this NPI record is 05D2078105 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2014 and was last updated on 11/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareNo
2103TA0400XPsychologistAddiction (Substance Use Disorder)A67412CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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