Provider Demographics
NPI:1205454204
Name:FICUS PSYCH
Entity type:Organization
Organization Name:FICUS PSYCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-584-2202
Mailing Address - Street 1:3680 WILSHIRE BLVD
Mailing Address - Street 2:STE P04 # 1188
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-6101
Mailing Address - Country:US
Mailing Address - Phone:929-243-4843
Mailing Address - Fax:
Practice Address - Street 1:3680 WILSHIRE BLVD P04 #1188
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2707
Practice Address - Country:US
Practice Address - Phone:929-243-4843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty