Healthcare Provider Details

I. General information

NPI: 1225859564
Provider Name (Legal Business Name): TOWER PSYCHIATRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2024
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 S BEVERLY DR UNIT 3184
BEVERLY HILLS CA
90212-1953
US

IV. Provider business mailing address

2021 OCEAN AVE APT 120
SANTA MONICA CA
90405-1046
US

V. Phone/Fax

Practice location:
  • Phone: 424-305-0153
  • Fax:
Mailing address:
  • Phone: 424-305-0153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PIYUSH NAYYAR
Title or Position: PRESIDENT
Credential: MD
Phone: 424-305-0153