Healthcare Provider Details
I. General information
NPI: 1225742240
Provider Name (Legal Business Name): PSYCHBRIGHT HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/13/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9025 WILSHIRE BLVD STE 202
BEVERLY HILLS CA
90211-1825
US
IV. Provider business mailing address
9531 SANTA MONICA BLVD # 310
BEVERLY HILLS CA
90210-4503
US
V. Phone/Fax
- Phone: 213-584-2331
- Fax: 424-421-3646
- Phone: 213-584-2331
- Fax: 424-421-3646
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DANIEL
ABRAHAM
DUEL
Title or Position: CEO/MD
Credential: MD
Phone: 213-584-2331