Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Functional Medicine and Psychiatry Inc

Organization Psychiatry Physician · NPI 1043953235

Functional Medicine and Psychiatry Inc is a Psychiatry Physician in LA Canada Flintridge, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4358 Chevy Chase Dr
LA Canada Flintridge, CA 91011-3203
Phone: (626) 449-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1043953235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Lee — President · (626) 449-7000
NPI enumeratedApril 15, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022
Mailing address115 W California Blvd Unit 9001, Pasadena, CA 91105-3005

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