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MCLA PSYCHIATRIC MEDICAL GROUP A PROFESSIONAL CORPORATION NPI 1083681290


NPI Information

NPI: 1083681290
Provider Name: MCLA PSYCHIATRIC MEDICAL GROUP A PROFESSIONAL CORPORATION

Doing Business As: MCLA PSYCHIATRIC MEDICAL GROUP

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1560 E CHEVY CHASE DRIVE
SUITE 130
GLENDALE, CA
ZIP 91206
Phone: (818) 240-0340
Get Directions

MCLA PSYCHIATRIC MEDICAL GROUP A PROFESSIONAL CORPORATION is a psychiatry psychiatry neurology in Glendale, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MCLA PSYCHIATRIC MEDICAL GROUP A PROFESSIONAL CORPORATION NPI is 1083681290. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcla Psychiatric Medical Group.

The provider's business location address is:

1560 E CHEVY CHASE DRIVE
SUITE 130
GLENDALE, CA
ZIP 91206-140
Phone: (818) 240-0340
Fax: (818) 545-7672

The provider's authorized official is Lukas Alexanian .
The authorized official title is President and has the following contact phone number (818) 240-0340.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 11/23/2015.


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
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
52084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W14960MEDICARE UPINCALIFORNIA

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: 11/14/2023

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