JOHN GREGORY SERPA PHD NPI 1184727158

NPI Information

NPI: 1184727158
Provider Name: JOHN GREGORY SERPA, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
11301 WILSHIRE BLVD
WEST LOS ANGELES VA 116B
LOS ANGELES, CA
ZIP 90073
Phone: (310) 478-3711
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John Gregory Serpa, PHD is a clinical neuropsychologist in Los Angeles, 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. John Gregory Serpa, PHD NPI is 1184727158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11301 WILSHIRE BLVD
WEST LOS ANGELES VA 116B
LOS ANGELES, CA
ZIP 90073
Phone: (310) 478-3711
Fax: (310) 268-4241

The enumeration date for this NPI number is 9/6/2006 and was last updated on 7/8/2007.

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
1	103G00000X	Clinical Neuropsychologist		PSY20340	CALIFORNIA	Yes
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	PSY20340	CALIFORNIA	X
3	103T00000X	Psychologist		PSY20340	CALIFORNIA	X

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: 11/14/2023

NPI Synchronization or Removal

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