MEDICARE: WE ROCK THE SPECTRUM - STUDIO CITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1144189747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE ROCK THE SPECTRUM - STUDIO CITY

Provider Business Mailing Address
First Line	:	4397 TUJUNGA AVE STE F
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2775
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4397 TUJUNGA AVE STE F
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2775
Country	:	US
Telephone Number	:	818-980-5437
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KATIE JEFFERY
Credential	:
Telephone Number	:	818-980-5437

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “WE ROCK THE SPECTRUM - STUDIO CITY ” Practice Location

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