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General NPI Number Information
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NPI Number | 1205454204
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Entity Type | Organization
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Legal Business Name | FICUS PSYCH
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3680 WILSHIRE BLVD P04 #1188
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City | LOS ANGELES
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State | CA
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Zip | 90010-2707
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Country | US
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Telephone | 929-243-4843
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Fax |
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Provider Business Mailing Address
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Address Line | 3680 WILSHIRE BLVD STE P04 # 1188
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City | LOS ANGELES
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State | CA
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Zip | 90010-6101
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Country | US
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Telephone | 929-243-4843
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY SAYER
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Credential | MD
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Telephone | 949-584-2202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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