Healthcare Provider Details

I. General information

NPI: 1023149077
Provider Name (Legal Business Name): DIDI HIRSCH PSYCHIATRIC SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11133 WASHINGTON BLVD
CULVER CITY CA
90232-3918
US

IV. Provider business mailing address

4760 SEPULVEDA BLVD
CULVER CITY CA
90230-4820
US

V. Phone/Fax

Practice location:
  • Phone: 310-895-2300
  • Fax: 310-895-2395
Mailing address:
  • Phone: 310-390-6612
  • Fax: 310-398-5690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. KITA CURRY
Title or Position: PRESIDENT AND CEO
Credential: PH.D.
Phone: 310-751-5423