KEYSTONE PSYCHIATRY SERVICES-INC NPI 1376241919

NPI Information

  • NPI: 1376241919
  • Provider Name: KEYSTONE PSYCHIATRY SERVICES-INC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • :
  • Address: 10921 WILSHIRE BLVD STE 409B
    LOS ANGELES, CA
    ZIP 90024
  • Phone: (310) 922-0584

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NPI Details

KEYSTONE PSYCHIATRY SERVICES-INC is a psychiatry psychiatry neurology in Los Angeles, 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. KEYSTONE PSYCHIATRY SERVICES-INC NPI is 1376241919. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

10921 WILSHIRE BLVD STE 409B
LOS ANGELES, CA
ZIP 90024-001
Phone: (310) 922-0584

The provider's authorized official is Je Deuk Ko .
The authorized official title is President and has the following contact phone number (310) 922-0584.

The enumeration date for this NPI number is 2/22/2023 and was last updated on 9/12/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084F0202XPsychiatry & NeurologyForensic PsychiatryNo
22084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
52084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

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This page was last updated on: 11/21/2025

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