| Counseling Center Of Santa Monica - A Psychological Corporation | |
|
1321 9th St Santa Monica CA 90401-1803 | |
| (310) 477-6000 | |
| (310) 477-0327 |
| Full Name | Counseling Center Of Santa Monica - A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 1321 9th St, Santa Monica, California |
| Authorized Official Name and Position | Reuben Vaisman-tzachor (PRESIDENT - OWNER) |
| Authorized Official Contact | 3104776000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center Of Santa Monica - A Psychological Corporation 1321 9th St Santa Monica CA 90401-1803 Ph: (310) 477-6000 | Counseling Center Of Santa Monica - A Psychological Corporation 1321 9th St Santa Monica CA 90401-1803 Ph: (310) 477-6000 |
| NPI Number | 1245394121 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 12/10/2008 |
| Medicare PECOS PAC ID | 5698837219 |
|---|---|
| Medicare Enrollment ID | O20081216000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245394121 | NPI | - | NPPES |
| Provider Name | Reuben Vaisman-tzachor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265596134 PECOS PAC ID: 4880756402 Enrollment ID: I20081216000385 |
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