Neuro Wellness Spa, a Medical PC
Organization Active NPI Psychiatry Physician · Manhattan Beach, CA
NPI 1003394149 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1003394149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- G78080 (CA)
- Legal business name
- NEURO WELLNESS SPA, A MEDICAL PC
- Practice address
- 1101 N Sepulveda Blvd Ste 201
Manhattan Beach, CA 90266-5963 - Phone
- (310) 545-4450
- Fax
- (310) 564-2295
- NPI assigned
- Jul 31, 2018
- Organization subpart
- No
Authorized official
- Name
- Scott Dohren
- Title
- Director of Operations
- Phone
- (858) 735-2472
Practitioners 51
-
Martha Brewer Koo, M.D.
-
Jessie Alvarez, PMHNP-BC
-
Jonathan Edward Artigue, LMFT
-
Rica Motomal Beck, FNP
-
Benjamin Berry, M.D.
-
Jessie Lynn Brucki, M.S.
-
Brenda Cabrera, ASW
-
Paul Joonhyuk Choi, PMHNP-BC, FNP-C
-
Andy Dukeshire, LCSW
-
Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC
-
Samaneh Fanaeian, NP
-
Semyon Faynboym, M.D.
-
Baback Bob Gabbay, M.D.
-
Sophia Galano, LCSW
-
Shaina Goelman, LMFT
-
Denis Grigorov, NP
-
Halle Elizabeth Guidi, MSED.
National Provider Directory
Locations
8383 Wilshire Blvd
Ste 520
Beverly Hills, CA 90211
475 S State College Blvd
Brea, CA 92821
Phone (714) 870-7546
16530 Ventura Blvd
Ste 625
Encino, CA 91436
764 P St
Ste 19
Fresno, CA 93721
22706 Aspan St
Ste 501
Lake Forest, CA 92630
Phone (949) 565-4138
5838 E Naples Plz
Long Beach, CA 90803
Phone (877) 624-1427
1101 N Sepulveda Blvd
Ste 201
Manhattan Beach, CA 90266
Phone (310) 545-4450
1011 N Sepulveda Blvd Ste 202
Manhattan Beach, CA 90266
13400 Washington Blvd
Ste 105
Marina del Rey, CA 90292
Phone (310) 467-3346
350 S Lake Ave
Ste 260
Pasadena, CA 91101
Phone (424) 352-3633
2656 29th St
Ste 202
Santa Monica, CA 90405
Phone (310) 503-0221
18411 Crenshaw Blvd
Ste 360
Torrance, CA 90504
Phone (213) 340-2613
3600 Lomita Blvd
Ste 200
Torrance, CA 90505
Phone (310) 545-4450
5743 Corsa Ave
Ste 107
Westlake Village, CA 91362
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | G78080 | CA | Yes |
Addresses
Primary practice location
1101 N Sepulveda Blvd Ste 201
Manhattan Beach, CA 90266-5963
Mailing address
1101 N Sepulveda Blvd Ste 201
Manhattan Beach, CA 90266-5963
Phone (310) 545-4450
Other practice location 1
73255 El Paseo Ste 11
Palm Desert, CA 92260-4249
Phone (310) 545-4450
Other practice location 2
3600 Lomita Blvd Ste 200
Torrance, CA 90505-3900
Phone (310) 545-4450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811442767 | Other | CA | NPPES |
| 1497899728 | Other | CA | NPPES |
Other names
- Neuro Wellness Spa
Other providers in Manhattan Beach, CA
- Naceem Navidi
- Heather Nenov
- Nephron Management, LLC
- Traci Neri
- Nested Integral Coaching Constellation
- Maria Lynn Newson
- Albert Tuong-Quang Nguyen
- Anh Trong Nguyen
- David Nguyen
- Tuong-VI Nguyen
All providers in Manhattan Beach, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.