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SQ MEDICAL INC. NPI 1215676119


NPI Information

NPI: 1215676119
Provider Name: SQ MEDICAL, INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
10780 SANTA MONICA BLVD STE 105
LOS ANGELES, CA
ZIP 90025
Phone: (844) 422-6336
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SQ MEDICAL, INC. is an adult mental health clinic center in Los Angeles, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SQ MEDICAL, INC. NPI is 1215676119. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10780 SANTA MONICA BLVD STE 105
LOS ANGELES, CA
ZIP 90025-613
Phone: (844) 422-6336
Fax: (888) 887-2955

The provider's authorized official is Brittany Salazar .
The authorized official title is Director Of Finance and has the following contact phone number (424) 320-4859.

The enumeration date for this NPI number is 5/31/2022 and was last updated on 5/31/2022.


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
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5133V00000XDietitian, RegisteredNo
6207RA0401XInternal MedicineAddiction MedicineNo
72084A0401XPsychiatry & NeurologyAddiction MedicineNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
9261QM0850XClinic/CenterAdult Mental HealthYes

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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