| Harbor Psychologist, Inc. | |
|
1137 2nd St Ste 201 Santa Monica CA 90403-5086 | |
| (310) 808-4510 | |
| Not Available |
| Full Name | Harbor Psychologist, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1137 2nd St Ste 201, Santa Monica, California |
| Authorized Official Name and Position | Zecharia Oren (PRESIDENT) |
| Authorized Official Contact | 3108084510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Psychologist, Inc. 4325 Glencoe Ave # 9651 Marina Del Rey CA 90292-9991 Ph: (310) 808-4510 | Harbor Psychologist, Inc. 1137 2nd St Ste 201 Santa Monica CA 90403-5086 Ph: (310) 808-4510 |
| NPI Number | 1215577523 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 3870916737 |
|---|---|
| Medicare Enrollment ID | O20200710000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215577523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Zecharia K Oren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023133006 PECOS PAC ID: 5496895435 Enrollment ID: I20141030000478 |
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