Gray Matters

NPI 1023406964 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1023406964
Enumeration Date 12/30/2014
Last Updated 12/30/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DAVID IRA DAVID
Position OWNER
Phone (213) 293-9408
Fax
Practice Location
617 W 7TH ST
8TH FLOOR
LOS ANGELES CA, 90017-3830, US
Phone (213) 293-9408
Fax
Business Location
4315 BEETHOVEN ST
LOS ANGELES CA, 90066-6102, US
Phone (213) 300-5440
Fax
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number PSY21769
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According to our database, Gray Matters NPI is 1023406964, taxonomy code is 251S00000X and license number is PSY21769, license state is located at California. Gray Matters physically located at 617 W 7th St, Los Angeles CA, 90017-3830. NPI Number 1033115704 has the healthcare provider type.

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1023406964 NPI number is provided on an as is basis without warranty of any kind. 1023406964 is maintained by the National Plan & Provider Enumeration System. The contents of Gray Matters are for informational purposes only.