Healthcare Provider Details

I. General information

NPI: 1609627009
Provider Name (Legal Business Name): WILSHIRE INSTITUTE FOR INTERVENTIONAL PSYCHIATRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 WILSHIRE BLVD STE 420
BEVERLY HILLS CA
90212-3214
US

IV. Provider business mailing address

9350 WILSHIRE BLVD STE 420
BEVERLY HILLS CA
90212-3214
US

V. Phone/Fax

Practice location:
  • Phone: 310-598-6600
  • Fax:
Mailing address:
  • Phone: 310-598-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OANA GALICKI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 310-598-6600