Health Development Services | |
5855 Green Valley Cir Suite 101 Culver City CA 90230-6946 | |
(310) 410-9504 | |
(310) 410-9507 |
Full Name | Health Development Services |
---|---|
Speciality | Psychologist |
Location | 5855 Green Valley Cir, Culver City, California |
Authorized Official Name and Position | Walter Brown (PSYCHOLOGIST) |
Authorized Official Contact | 3104109504 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Health Development Services 5855 Green Valley Cir Suite 101 Culver City CA 90230-6946 Ph: (310) 410-9504 | Health Development Services 5855 Green Valley Cir Suite 101 Culver City CA 90230-6946 Ph: (310) 410-9504 |
NPI Number | 1548343908 |
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Provider Enumeration Date | 10/21/2006 |
Last Update Date | 01/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548343908 | NPI | - | NPPES |
11637206 | Other | CAQH PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY 19358 (California) | Primary |
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