| Beach Psychology | |
|
2447 Pacific Coast Hwy Ste 213 Hermosa Beach CA 90254-2714 | |
| (310) 947-9279 | |
| Not Available |
| Full Name | Beach Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 2447 Pacific Coast Hwy Ste 213, Hermosa Beach, California |
| Authorized Official Name and Position | Kelly Warren (PSYCHOLOGIST) |
| Authorized Official Contact | 3109479279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Psychology 2447 Pacific Coast Hwy Ste 213 Hermosa Beach CA 90254-2714 Ph: (310) 947-9279 | Beach Psychology 2447 Pacific Coast Hwy Ste 213 Hermosa Beach CA 90254-2714 Ph: (310) 947-9279 |
| NPI Number | 1528423654 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 05/10/2018 |
| Medicare PECOS PAC ID | 8022315084 |
|---|---|
| Medicare Enrollment ID | O20160318001415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528423654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY27851 (California) | Primary |
| Provider Name | Kelly S Warren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891105193 PECOS PAC ID: 1658678610 Enrollment ID: I20160318001522 |
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