Field Trip Medical Inc. | |
1538 20th St # 200 Santa Monica CA 90404-3408 | |
(833) 222-0084 | |
Not Available |
Full Name | Field Trip Medical Inc. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1538 20th St # 200, Santa Monica, California |
Authorized Official Name and Position | Randall Alan Scharlach (PRESIDENT & MEDICAL DIRECTOR) |
Authorized Official Contact | 8184492700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Field Trip Medical Inc. 1538 20th St # 200 Santa Monica CA 90404-3408 Ph: () - | Field Trip Medical Inc. 1538 20th St # 200 Santa Monica CA 90404-3408 Ph: (833) 222-0084 |
NPI Number | 1063023133 |
---|---|
Provider Enumeration Date | 08/12/2020 |
Last Update Date | 08/12/2020 |
Certification Date | 08/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063023133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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