Provider Demographics
NPI:1316416670
Name:PSYCHIATRIC EXCELLENCE
Entity Type:Organization
Organization Name:PSYCHIATRIC EXCELLENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANURAG
Authorized Official - Middle Name:
Authorized Official - Last Name:GOEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-386-2322
Mailing Address - Street 1:651 N SEPULVEDA BLVD # 2012
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-2185
Mailing Address - Country:US
Mailing Address - Phone:858-386-2322
Mailing Address - Fax:
Practice Address - Street 1:651 N SEPULVEDA BLVD # 2012
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-2185
Practice Address - Country:US
Practice Address - Phone:858-386-2322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty