CAMDEN PHYSICIANS GROU, INC. (NPI# 1790156271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790156271 |
Entity Type | Organization |
Organization Name | CAMDEN PHYSICIANS GROU, INC. |
Practice Address |
10780 Santa Monica Blvd Suite 105 Los Angeles CA 90025-4749 |
Practice Telephone | 8444226336 |
Mailing Telephone | 8444226336 |
Enumeration Date | 2015-10-09 |
Last Update Date | 2015-10-09 |
Authorized Official Name | MISS JESSICA KLEIN (SECRETARY) |
Authorized Official Telephone | 8444226336 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY25565 | CA | Behavioral Health & Social Service Providers |
N | 103TC1900X |
Psychologist Specialization: Counseling |
PSY19135 | CA | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
LCS59977 | CA | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | MFC48114 | CA | Behavioral Health & Social Service Providers |
N | 133N00000X | Nutritionist | AC11797 | CA | Dietary & Nutritional Service Providers |
N | 171100000X | Acupuncturist | AC11797 | CA | Other Service Providers |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A112538 | CA | Allopathic & Osteopathic Physicians |
N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
A100456 | CA | Allopathic & Osteopathic Physicians |
N | 291U00000X | Clinical Medical Laboratory | 05D2068012 | CA | Laboratories |
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Street Address |
10780 SANTA MONICA BLVD SUITE 105 |
City | LOS ANGELES |
State | CA |
Zip Code | 90025-4749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275596694 | Renal Treatment Centers-california, Inc | Clinic/Center | 10780 Santa Monica Blvd, Ste 480, Los Angeles, CA 90025-4749 | 2006-04-07 |
1215583208 | Afsoun Delshad | Speech-Language Pathologist | 10780 Santa Monica Blvd, Los Angeles, CA 90025-4749 | 2019-08-14 |
1295388619 | Macy Morikawa | Speech-Language Pathologist | 10780 Santa Monica Blvd, Los Angeles, CA 90025-4749 | 2019-07-24 |
1457890576 | Veronica Christiana Cleary | Marriage & Family Therapist | 10780 Santa Monica Blvd, Suite #260, Los Angeles, CA 90025-4749 | 2017-02-22 |
1164979803 | Neil Ghodadra M.d. Inc | Orthopaedic Surgery | 10780 Santa Monica Blvd, Suite 210, Los Angeles, CA 90025-4749 | 2016-09-09 |
1710432372 | Hallie Schiff | Physical Therapist | 10780 Santa Monica Blvd, Suite 405, Los Angeles, CA 90025-4749 | 2016-08-23 |
1609235324 | Megan Auster-rosen | Psychologist | 10780 Santa Monica Blvd, 105, Los Angeles, CA 90025-4749 | 2016-02-23 |
1235502360 | Prospect Health Plan, Inc. | Health Maintenance Organization | 10780 Santa Monica Blvd, Suite 400, Los Angeles, CA 90025-4749 | 2015-11-11 |
1306219845 | Orthohealing Center Association A Ca General Partnership | Physical Medicine & Rehabilitation | 10780 Santa Monica Blvd, Suite 210, Los Angeles, CA 90025-4749 | 2015-11-05 |
1215323902 | Claudia Lewis | Marriage & Family Therapist | 10780 Santa Monica Blvd, Suite 105, Los Angeles, CA 90025-4749 | 2015-04-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
Find all providers in zip 90025 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
1124640610 | Brothers Lcsw Inc | Clinic/Center | 617 S Olive St Ste 906, Los Angeles, CA 90014-1630 | 2020-05-07 |
1508494659 | Noah Hass-cohen Psyd Psychology, Inc. | Clinic/Center | 640 S San Vicente Blvd Ste 264, Los Angeles, CA 90048-4884 | 2020-04-01 |
1013438316 | 1334 Westwood, LLC | Clinic/Center | 1334 Westwood Blvd Ste 3a, Los Angeles, CA 90024-4951 | 2017-06-28 |
1770947525 | Dr Jeremy Martinez Md A Professional Corporation | Clinic/Center | 631-a Maple Avenue, Los Angeles, CA 90014 | 2016-04-07 |
1285008862 | Imedventures, LLC | Clinic/Center | 2477 Fletcher Dr, Suite C, Los Angeles, CA 90039-2801 | 2015-11-19 |
1295108272 | Hadassah Brain Center Inc. | Clinic/Center | 8631 W 3rd St Ste 225e, Los Angeles, CA 90048-5940 | 2015-11-12 |
1124496039 | Resilience Treatment Center | Clinic/Center | 1940 Century Park E, Suite 200, Los Angeles, CA 90067-1700 | 2015-09-09 |
1689040313 | Ceola Morgan | Clinic/Center | 2421 8th Ave, Los Angeles, CA 90018-1767 | 2015-08-17 |
1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90025 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.