CALMING GOAT ADDICTION MEDICINE GROUP – NPI #1174081327
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CALMING GOAT ADDICTION MEDICINE GROUP is a psychiatry & neurologist located in LOS ANGELES, CA. NPPES has assigned the NPI number 1174081327 to CALMING GOAT ADDICTION MEDICINE GROUP on March 06, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CALMING GOAT ADDICTION MEDICINE GROUP” is a dba name, the actual legal business name for this organization is BACCHUS, MOGHADDAM, MUSNGI, SHWAYDER MEDICAL CORP.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 6 years ago on Jul 29, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALMING GOAT ADDICTION MEDICINE GROUP below.

NPI Profile for
BACCHUS, MOGHADDAM, MUSNGI, SHWAYDER MEDICAL CORP.

NPI Number
1174081327
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BACCHUS, MOGHADDAM, MUSNGI, SHWAYDER MEDICAL CORP.
Doing Business As (dba): CALMING GOAT ADDICTION MEDICINE GROUP
Primary location
6801 PARK TER # 530B
LOS ANGELES, CA 90045-1543
Phone: (424) 376-3444 Fax: (424) 298-4156
1 Other location(s):
4644 Lincoln Blvd Ste 540
Marina Del Rey, CA 90292-6391
Phone: (888) 448-4628
Fax: (888) 448-4628
Mailing address
PO BOX 1085
TORRANCE, CA 90505-0085
Phone: (888) 448-4628 Fax:
Organization Subpart
No
Authorized Official
SOROYA BACCHUS
COO
Phone: (310) 901-6262
Updated
Certification Date
Jul 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CALMING GOAT ADDICTION MEDICINE GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAL LICENSECAG74246
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.