Neurobehavioral Healthcare Center | |
326 S Pacific Coast Hwy Ste 200 Redondo Beach CA 90277-3769 | |
(310) 855-3288 | |
(310) 855-3498 |
Full Name | Neurobehavioral Healthcare Center |
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Speciality | Clinical Neuropsychologist |
Location | 326 S Pacific Coast Hwy Ste 200, Redondo Beach, California |
Authorized Official Name and Position | Raphael Ziegler (PRESIDENT) |
Authorized Official Contact | 3108553288 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurobehavioral Healthcare Center 326 S Pacific Coast Hwy Ste 200 Redondo Beach CA 90277-3769 Ph: (310) 855-3498 | Neurobehavioral Healthcare Center 326 S Pacific Coast Hwy Ste 200 Redondo Beach CA 90277-3769 Ph: (310) 855-3288 |
NPI Number | 1053598201 |
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Provider Enumeration Date | 01/29/2008 |
Last Update Date | 05/20/2019 |
Medicare PECOS PAC ID | 3779646369 |
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Medicare Enrollment ID | O20090107000697 |
Identifier | Type | State | Issuer |
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1053598201 | NPI | - | NPPES |
Provider Name | Raphael Ziegler |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1497895601 PECOS PAC ID: 0547356925 Enrollment ID: I20071016000351 |
Provider Name | Lauren Brubaker Keats |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356699342 PECOS PAC ID: 0749556157 Enrollment ID: I20171030000929 |
Provider Name | Grace Hamilton |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1063939759 PECOS PAC ID: 8325476229 Enrollment ID: I20200306001188 |
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