Jaime Elizabeth Medvene Phd A Professional Psychological Corpora

LBN: Jaime Elizabeth Medvene Phd A Professional Psychological Corpora
Jaime Elizabeth Medvene Phd A Professional Psychological Corpora is an health care organization with primary practice located at 30200 Agoura Rd Suite 190, Agoura Hills CA 91301-5434. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jaime Elizabeth Medvene Phd A Professional Psychological Corpora can be contacted via phone (818) 981-7845, or through Medvene, Jaime Elizabeth via phone (818) 981-7845.

Contact Information

Primary practice address
30200 Agoura Rd Suite 190 Agoura Hills CA 91301-5434
Fax:
Website:
Authorized official contact:
Name: Medvene, Jaime Elizabeth PHD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X CP13740 California

Profile Details

NPI number 1306084272
LBN Legal business name Jaime Elizabeth Medvene Phd A Professional Psychological Corpora
DBA Doing business as
Authorized official Medvene, Jaime Elizabeth PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2009
Last updated May 15th, 2020 - about 4 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 1306084272 NPPES
California MEDICAID PSY137401

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