MEDICARE: TRANQUIL PATH PSYCHIATRY

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1629956610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUIL PATH PSYCHIATRY

Provider Business Mailing Address
First Line	:	971 S ST ANDREWS PL APT 104
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-2253
Country	:	US
Telephone Number	:	213-447-2513
Fax Number	:	833-605-4359

Provider Business Practice Location Address
First Line	:	971 S ST ANDREWS PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-2272
Country	:	US
Telephone Number	:	201-500-6992
Fax Number	:	833-605-4359

Authorized Official
Title or Position	:	OWNER
Name	:	ESTHER LEE
Credential	:	PMHNP
Telephone Number	:	213-447-2513

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	01/29/2026

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Directions to “TRANQUIL PATH PSYCHIATRY ” Practice Location

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