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NPI Code Detail

MEDICARE: EMMADA INSTITUTE OF BEHAVIORAL HEALTH & WELLNESS

MEDICARE: EMMADA INSTITUTE OF BEHAVIORAL HEALTH & WELLNESS
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1992402416
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMMADA INSTITUTE OF BEHAVIORAL HEALTH & WELLNESS
Provider Business Mailing Address
First Line : 8939 S SEPULVEDA BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3667
Country : US
Telephone Number : 855-255-9366
Fax Number : 855-336-3013
Provider Business Practice Location Address
First Line : 8939 S SEPULVEDA BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3667
Country : US
Telephone Number : 866-863-4645
Fax Number : 866-863-4824
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. RICKEY WILLIAMSON
Credential : PHD
Telephone Number : 424-355-8717
Provider Enumeration Date : 02/15/2023
Last Update Date : 06/03/2026

Similar Medicare Providers

1578619417 — DR. RICKEY WILLIAMSON PHD
Practice Location Address:
8939 S SEPULVEDA BLVD STE 200
LOS ANGELES, CA
90045-3667
Practice Phone: 424-355-8717
Practice Fax: 855-336-3013
1225964240 — CHRISTY LEE MA
Practice Location Address:
8939 S SEPULVEDA BLVD STE 200
LOS ANGELES, CA
90045-3667
Practice Phone: 855-255-9366
Practice Fax: 855-336-3013
1538707542 — MARIANA ESTER DEL CID BARDALES
Practice Location Address:
8939 S SEPULVEDA BLVD STE 200
LOS ANGELES, CA
90045-3667
Practice Phone: 866-863-4645
Practice Fax:
1295489136 — DR. JUANA GATSON PHD
Practice Location Address:
8939 S SEPULVEDA BLVD STE 200
LOS ANGELES, CA
90045-3667
Practice Phone: 866-863-4645
Practice Fax: 866-863-4824
1598606253 — EMMADA PSYCHOLOGY CENTER
Practice Location Address:
8939 S SEPULVEDA BLVD STE 200
LOS ANGELES, CA
90045-3667
Practice Phone: 855-255-9366
Practice Fax:
1124219886 — ERIKA B SALAO D.M.D
Practice Location Address:
3756 W AVENUE 40 STE 1C
LOS ANGELES, CA
90065-3667
Practice Phone: 323-255-1700
Practice Fax: 323-255-1829

Directions to “EMMADA INSTITUTE OF BEHAVIORAL HEALTH & WELLNESS ” Practice Location

Language Start Address Practice Location
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.

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