Affiliated Psychiatric Medical Group

LBN: Affiliated Psychiatric Medical Group
Affiliated Psychiatric Medical Group is an health care organization with primary practice located at 647 Camino De Los Mares #226, San Clemente CA 92673-2807. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Affiliated Psychiatric Medical Group can be contacted via phone (949) 489-9898, or through Sellers, Esther Edith via phone (949) 489-9898.

Contact Information

Primary practice address
647 Camino De Los Mares #226 San Clemente CA 92673-2807
Phone: (949) 489-9898
Fax: (949) 489-2569
Website:
Map and Directions
Authorized official contact:
Name: Sellers, Esther Edith PH.D
Phone: (949) 489-9898

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14002 California

Profile Details

NPI number 1558597146
LBN Legal business name Affiliated Psychiatric Medical Group
DBA Doing business as
Authorized official Sellers, Esther Edith PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2009
Last updated Jun 9th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558597146 NPPES
California MEDICAID PSY140020

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