Southern California Psychological

LBN: Southern California Psychological
Southern California Psychological is an health care organization with primary practice located at 17821 17Th St Ste 250 , Tustin CA 92780-2173. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern California Psychological can be contacted via phone (714) 505-2093, or through Tilley, Kimberely via phone (714) 505-2093.

Contact Information

Primary practice address
17821 17Th St Ste 250 Tustin CA 92780-2173
Phone: (714) 505-2093
Fax: (714) 573-0072
Website:
Map and Directions
Authorized official contact:
Name: Tilley, Kimberely
Phone: (714) 505-2093

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PSY23488 California

Profile Details

NPI number 1053745497
LBN Legal business name Southern California Psychological
DBA Doing business as
Authorized official Tilley, Kimberely
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2013
Last updated Aug 21st, 2013 - about 11 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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