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GOLDEN STATE NEUROPLASTICS INC. NPI 1417332545


NPI Information

NPI: 1417332545
Provider Name: GOLDEN STATE NEUROPLASTICS, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
626 WILSHIRE BLVD
SUITE 910
LOS ANGELES, CA
ZIP 90017
Phone: (310) 863-6199
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GOLDEN STATE NEUROPLASTICS, INC. is a mental health (including community mental health center) clinic center in Los Angeles, CA. GOLDEN STATE NEUROPLASTICS, INC. NPI is 1417332545. The provider is registered as an organization entity type.

The provider's business location address is:

626 WILSHIRE BLVD
SUITE 910
LOS ANGELES, CA
ZIP 90017-209
Phone: (310) 863-6199
Fax: (888) 789-9773

The provider's authorized official is Christopher Bartlett Franklin .
The authorized official title is Ceo and has the following contact phone number (310) 863-6199.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 7/30/2015.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)PSY24447CALIFORNIAYes

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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