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SOUTHERN CALIFORNIA PSYCHOLOGICAL NPI 1053745497


NPI Information

NPI: 1053745497
Provider Name: SOUTHERN CALIFORNIA PSYCHOLOGICAL
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
17821 17TH ST STE 250
TUSTIN, CA
ZIP 92780
Phone: (714) 505-2093
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SOUTHERN CALIFORNIA PSYCHOLOGICAL is a specialist in Tustin, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN CALIFORNIA PSYCHOLOGICAL NPI is 1053745497. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

17821 17TH ST STE 250
TUSTIN, CA
ZIP 92780-173
Phone: (714) 505-2093
Fax: (714) 573-0072

The provider's authorized official is Kimberely Tilley .
The authorized official title is President and has the following contact phone number (714) 505-2093.

The enumeration date for this NPI number is 8/21/2013 and was last updated on 8/21/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistPSY23488CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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