| California Health Psychology Pc | |
|
3628 Giddings Ranch Rd Altadena CA 91001-3827 | |
| (631) 786-9312 | |
| Not Available |
| Full Name | California Health Psychology Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3628 Giddings Ranch Rd, Altadena, California |
| Authorized Official Name and Position | Shibani Ray-mazumder (DIRECTOR) |
| Authorized Official Contact | 6317869312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Health Psychology Pc 607 Foothill Boulevard, #754 La Canada Flintridge CA 91011-3402 Ph: (646) 820-9652 | California Health Psychology Pc 3628 Giddings Ranch Rd Altadena CA 91001-3827 Ph: (631) 786-9312 |
| NPI Number | 1427621234 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 07/20/2021 |
| Certification Date | 07/20/2021 |
| Medicare PECOS PAC ID | 0840689105 |
|---|---|
| Medicare Enrollment ID | O20211109000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427621234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shibani Ray Mazumder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134312572 PECOS PAC ID: 8527381185 Enrollment ID: I20211109000262 |
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