Provider Demographics
NPI:1376163881
Name:REMEDY PSYCHIATRY
Entity Type:Organization
Organization Name:REMEDY PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-853-3169
Mailing Address - Street 1:200 S. BARRINGTON AVE
Mailing Address - Street 2:PO BOX 492124
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-9998
Mailing Address - Country:US
Mailing Address - Phone:310-853-3169
Mailing Address - Fax:844-584-4206
Practice Address - Street 1:12011 SAN VICENTE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-4964
Practice Address - Country:US
Practice Address - Phone:310-853-3169
Practice Address - Fax:844-584-4206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty