OCEANSIDE PSYCHOLOGY CLINIC NPI 1760922991

NPI Information

  • NPI: 1760922991
  • Provider Name: OCEANSIDE PSYCHOLOGY CLINIC
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 212 YACHT CLUB WAY STE A6
    REDONDO BEACH, CA
    ZIP 90277
  • Phone: (310) 956-1406

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NPI Details

OCEANSIDE PSYCHOLOGY CLINIC is an addiction (substance use disorder) psychologist in Redondo Beach, CA. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. OCEANSIDE PSYCHOLOGY CLINIC NPI is 1760922991. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

212 YACHT CLUB WAY STE A6
REDONDO BEACH, CA
ZIP 90277-907
Phone: (310) 956-1406
Fax: (424) 262-1008

The provider's authorized official is Urvi Natha .
The authorized official title is Clinical Director/ceo and has the following contact phone number (310) 944-1058.

The enumeration date for this NPI number is 3/7/2017 and was last updated on 7/24/2019.

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
1103T00000XPsychologistPSY27868CALIFORNIANo
2103TC1900XPsychologistCounselingNo
3103TA0400XPsychologistAddiction (Substance Use Disorder)Yes

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This page was last updated on: 11/21/2025

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