Ede Ca at Santa Monica, LP
NPI #1033262811 in Santa Monica, California
Provider Information
- NPI Number
- 1033262811
- Entity Type
- Organization
- Organization Name
- Ede Ca at Santa Monica, LP
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RIVERMEND HEALTH, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Apr 11, 2019
Practice Location
- Address
- 2716 OCEAN PARK BLVD STE 3020
- City
- Santa Monica
- State
- California
- ZIP Code
- 90405-5225
- Phone
- (310) 829-9161
Authorized Official
- Name
- TYEAST REYNOLDS
- Title
- DIRECTOR OF RCM
- Phone
- (678) 813-0428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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