DR. CARLA BACK-MADRUGA PHD NPI 1073940086

NPI Information

  • NPI: 1073940086
  • Provider Name: DR. CARLA BACK-MADRUGA, PHD
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • Address: 8055 W MANCHESTER AVE
    SUITE 235
    PLAYA DEL REY, CA
    ZIP 90293
  • Phone: (319) 827-9851

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NPI Details

DR. Carla Back-madruga, PHD is a clinical neuropsychologist in Playa Del Rey, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Carla Back-madruga, PHD NPI is 1073940086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8055 W MANCHESTER AVE
SUITE 235
PLAYA DEL REY, CA
ZIP 90293-960
Phone: (319) 827-9851

The enumeration date for this NPI number is 10/4/2013 and was last updated on 10/4/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPSY14950CALIFORNIAYes

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: 11/21/2025

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