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Contact Information

THE CAMDEN CENTER OLDER ADULTS PROGRAM, INC.
10780 SANTA MONICA BLVD STE 105
LOS ANGELES, CA90025-7613
 Phone: 844-422-6336
 Fax: 888-887-2955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for THE CAMDEN CENTER OLDER ADULTS PROGRAM INC · (Female)

NPI Number 1376913400
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2015
Last updated 10/01/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 39712
  • CA License # A112538
  • CA License # PSB4021549
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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