| Abjelina Mental Health Inc | |
|
23700 Camino Del Sol Torrance CA 90505-5017 | |
| (310) 530-1151 | |
| Not Available |
| Full Name | Abjelina Mental Health Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23700 Camino Del Sol, Torrance, California |
| Authorized Official Name and Position | Kenneth T Abjelina (OWNER PROVIDER) |
| Authorized Official Contact | 4244007748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abjelina Mental Health Inc Po Box 2490 Palos Verdes Peninsula CA 90274-8490 Ph: (424) 400-7748 | Abjelina Mental Health Inc 23700 Camino Del Sol Torrance CA 90505-5017 Ph: (310) 530-1151 |
| NPI Number | 1285794081 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 11/04/2016 |
| Medicare PECOS PAC ID | 5193719722 |
|---|---|
| Medicare Enrollment ID | O20040414001110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285794081 | NPI | - | NPPES |
| 00A647890 | Medicaid | CA | |
| 00A647890 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A64789 (California) | Primary |
| Provider Name | Kenneth T Abjelina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649267071 PECOS PAC ID: 8022002658 Enrollment ID: I20040414001241 |
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