PAUL H ACKERMAN M D INC NPI 1184938623

NPI Information

NPI: 1184938623
Provider Name: PAUL H ACKERMAN M D INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
11980 SAN VICENTE BLVD
SUITE 621
LOS ANGELES, CA
ZIP 90049
Phone: (310) 826-4882
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PAUL H ACKERMAN M D INC is a mental health (including community mental health center) clinic center in Los Angeles, CA. PAUL H ACKERMAN M D INC NPI is 1184938623. The provider is registered as an organization entity type.

The provider's business location address is:

11980 SAN VICENTE BLVD
SUITE 621
LOS ANGELES, CA
ZIP 90049-012
Phone: (310) 826-4882
Fax: (310) 476-5819

The provider's authorized official is Paul H Ackerman .
The authorized official title is President and has the following contact phone number (310) 826-4882.

The enumeration date for this NPI number is 7/26/2010 and was last updated on 8/10/2010.

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	261QM0850X	Clinic/Center	Adult Mental Health	G11839	CALIFORNIA	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	G11839	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A90165	MEDICARE UPIN	CALIFORNIA
2	G11839	MEDICARE PIN	CALIFORNIA

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

NPI Synchronization or Removal

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