Alliance Psychological Services, Inc. | |
15823 S Western Ave Gardena CA 90247-3703 | |
(310) 749-0317 | |
(310) 373-2057 |
Full Name | Alliance Psychological Services, Inc. |
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Speciality | Psychologist - Clinical |
Location | 15823 S Western Ave, Gardena, California |
Authorized Official Name and Position | Kimel A. Limon (CLINICAL PSYCHOLOGIST CEO) |
Authorized Official Contact | 3107490317 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alliance Psychological Services, Inc. 21143 Hawthorne Blvd # 460 Torrance CA 90503-4615 Ph: (310) 749-0317 | Alliance Psychological Services, Inc. 15823 S Western Ave Gardena CA 90247-3703 Ph: (310) 749-0317 |
NPI Number | 1417098716 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1417098716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY17613 (California) | Primary |
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