Healthcare Provider Details

I. General information

NPI: 1659934263
Provider Name (Legal Business Name): SCHULIN INVEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 MAIN ST
EL SEGUNDO CA
90245-3802
US

IV. Provider business mailing address

6627 VALJEAN AVE
VAN NUYS CA
91406-5817
US

V. Phone/Fax

Practice location:
  • Phone: 818-501-3512
  • Fax: 818-501-4120
Mailing address:
  • Phone: 818-501-3512
  • Fax: 818-501-4120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. FREDERIK SCHULIN
Title or Position: CEO, MANAGING PARTNER
Credential:
Phone: 310-697-9890