Provider Demographics
NPI:1497943864
Name:DEPRESSION & BIPOLAR INSTITUTE, INC
Entity Type:Organization
Organization Name:DEPRESSION & BIPOLAR INSTITUTE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HIMASIRI
Authorized Official - Middle Name:
Authorized Official - Last Name:DE SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:714-532-6811
Mailing Address - Street 1:810 W LA VETA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3918
Mailing Address - Country:US
Mailing Address - Phone:714-532-6811
Mailing Address - Fax:714-532-5487
Practice Address - Street 1:810 W LA VETA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3918
Practice Address - Country:US
Practice Address - Phone:714-532-6811
Practice Address - Fax:714-532-5487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty