| Pba Psychology Group, Inc. | |
|
9350 Wilshire Blvd Ste 212 Beverly Hills CA 90212-3204 | |
| (310) 271-2275 | |
| (310) 271-2275 |
| Full Name | Pba Psychology Group, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 9350 Wilshire Blvd Ste 212, Beverly Hills, California |
| Authorized Official Name and Position | Paula E Bruce (CEO) |
| Authorized Official Contact | 3102712275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pba Psychology Group, Inc. 9350 Wilshire Blvd Ste 212 Beverly Hills CA 90212-3204 Ph: (310) 271-2275 | Pba Psychology Group, Inc. 9350 Wilshire Blvd Ste 212 Beverly Hills CA 90212-3204 Ph: (310) 271-2275 |
| NPI Number | 1366962581 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 7315218252 |
|---|---|
| Medicare Enrollment ID | O20170810001786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366962581 | NPI | - | NPPES |
| Provider Name | Janice M Nishiyama |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053875740 PECOS PAC ID: 4284539628 Enrollment ID: I20031126000761 |
| Provider Name | Paula E Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760551279 PECOS PAC ID: 3577886589 Enrollment ID: I20141224000810 |
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