Abc Anxiety

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A41302 Issued in CA

Legal business name

ABC ANXIETY

Practice address

10850 Wilshire Blvd Ste 1260
Los Angeles, CA 90024-4337

Phone

(310) 943-6983

Fax

(310) 943-6983

NPI assigned

Jan 31, 2018

Last updated

Jan 31, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexander Bystritsky, MD

Title

Owner

Phone

(310) 943-6983

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1407354897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 WILSHIRE BLVD STE 1260",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244337",
            "telephone_number": "310-943-6983",
            "fax_number": "310-943-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 WILSHIRE BLVD STE 1260",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244337",
            "telephone_number": "310-943-6983",
            "fax_number": "310-943-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC ANXIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "BYSTRITSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-943-6983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A41302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.