Bissada, Angela Marie
Bissada, Angela Marie is an individual health care provider with primary practice located at 4650 W Sunset Blvd Ms# 60, Los Angeles CA 90027-6062. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Bissada, Angela Marie can be contacted via phone (323) 669-2350.Contact Information
Primary practice address
4650 W Sunset Blvd Ms# 60
Los Angeles CA 90027-6062
Phone: (323) 669-2350
Fax: (323) 671-1502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY15156 | California |
Profile Details
| NPI number | 1659463248 |
|---|---|
| LBN Legal business name | Bissada, Angela Marie |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659463248 | NPPES |
| California | MEDICAID | PSY151560 |
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