Aurawellbing, A Psychological Corporation

NPI 1083754949 - Psychologist - 103TC0700X

NPI Details
NPI 1083754949
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAN JAN
Position PRESIDENT
Phone (310) 559-0200
Fax (626) 584-7139
Practice Location
4230 OVERLAND AVE
CULVER CITY CA, 90230-3736, US
Phone (310) 559-0200
Fax (626) 584-7139
Business Location
4230 OVERLAND AVE
CULVER CITY CA, 90230-3736, US
Phone (310) 559-0200
Fax (626) 584-7139
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY 10291
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According to our database, Aurawellbing, A Psychological Corporation NPI is 1083754949, taxonomy code is 103TC0700X and license number is PSY 10291, license state is located at California. Aurawellbing, A Psychological Corporation physically located at 4230 Overland Ave, Culver City CA, 90230-3736. NPI Number 1033115704 has the healthcare provider type.

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1083754949 NPI number is provided on an as is basis without warranty of any kind. 1083754949 is maintained by the National Plan & Provider Enumeration System. The contents of Aurawellbing, A Psychological Corporation are for informational purposes only.