Provider Demographics
NPI:1598136020
Name:LINK PSYCHIATRY, INC.
Entity Type:Organization
Organization Name:LINK PSYCHIATRY, INC.
Other - Org Name:GRAND & QUINCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-DIRECTOR & CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:LINK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-882-3466
Mailing Address - Street 1:19191 S VERMONT AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1051
Mailing Address - Country:US
Mailing Address - Phone:888-710-4925
Mailing Address - Fax:888-710-4925
Practice Address - Street 1:19191 S VERMONT AVE STE 610
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1051
Practice Address - Country:US
Practice Address - Phone:888-710-4925
Practice Address - Fax:888-710-4925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA915452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty