KEYSTONE PEDIATRIC BEHAVIORAL HEALTH NPI 1992169940

NPI Information

KEYSTONE PEDIATRIC BEHAVIORAL HEALTH is an intellectual and developmental disabilities in Seal Beach, CA. KEYSTONE PEDIATRIC BEHAVIORAL HEALTH NPI is 1992169940. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

610 PACIFIC COAST HWY
SUITE 201
SEAL BEACH, CA
ZIP 90740-604
Phone: (562) 356-8600

The provider's authorized official is Michele Audrey Ocen .
The authorized official title is Psychologist/ Bcba and has the following contact phone number (562) 356-8600.

The enumeration date for this NPI number is 4/6/2016 and was last updated on 4/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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