| Nurtureful Psychological Services, Pc | |
|
11500 W Olympic Blvd Ste 400 Los Angeles CA 90064-1525 | |
| (310) 621-7555 | |
| Not Available |
| Full Name | Nurtureful Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 11500 W Olympic Blvd Ste 400, Los Angeles, California |
| Authorized Official Name and Position | Franklin Carvajal (CEO) |
| Authorized Official Contact | 3106214755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurtureful Psychological Services, Pc 3567 Wesley St Culver City CA 90232-2432 Ph: (310) 621-4755 | Nurtureful Psychological Services, Pc 11500 W Olympic Blvd Ste 400 Los Angeles CA 90064-1525 Ph: (310) 621-7555 |
| NPI Number | 1477282812 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Medicare PECOS PAC ID | 2961887724 |
|---|---|
| Medicare Enrollment ID | O20220914001504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477282812 | NPI | - | NPPES |
| Provider Name | Franklin Carvajal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063608230 PECOS PAC ID: 0244369494 Enrollment ID: I20100526000303 |
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