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NPI Code Detail

MEDICARE: SYNERGY: COMPREHENSIVE CARE FOR MIND, HEART, AND HOME

MEDICARE: SYNERGY: COMPREHENSIVE CARE FOR MIND, HEART, AND HOME
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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1235017625
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGY: COMPREHENSIVE CARE FOR MIND, HEART, AND HOME
Provider Business Mailing Address
First Line : PO BOX 291083
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-9083
Country : US
Telephone Number : 424-309-2641
Fax Number :
Provider Business Practice Location Address
First Line : 1910 W SUNSET BLVD STE 800
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-3283
Country : US
Telephone Number : 424-309-2641
Fax Number :
Authorized Official
Title or Position : CHIEF OF MORAL SUPPORT/FOUNDER
Name : CARLOS VELASCO
Credential : LPCC
Telephone Number : 424-309-2641
Provider Enumeration Date : 08/25/2025
Last Update Date : 02/26/2026

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Directions to “SYNERGY: COMPREHENSIVE CARE FOR MIND, HEART, AND HOME ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.