Pacifica Neuropsychology Center
LBN: Pacifica Neuropsychology Center
Pacifica Neuropsychology Center is an health care organization with primary practice located at 461 W 6Th St, Suite 211 , San Pedro CA 90731-2694. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Pacifica Neuropsychology Center can be contacted via phone (310) 547-0084, or through Mares, Marisa via phone (310) 547-0084.
Contact Information
Primary practice address
461 W 6Th St, Suite 211
San Pedro CA 90731-2694
Phone: (310) 547-0084
Fax: (310) 833-5672
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY 19781 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC 42200 | California |
Profile Details
NPI number | 1962783951 |
---|---|
LBN Legal business name | Pacifica Neuropsychology Center |
DBA Doing business as | |
Authorized official | Mares, Marisa PH.D |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 2nd, 2011 |
Last updated | Jan 26th, 2017 - about 7 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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