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Contact Information

SOUTHERN CALIFORNIA PSYCHIATRIC GROUP, INC
28125 BRADLEY RD STE 220
SUN CITY, CA92586
 Phone: 951-309-2140
 Fax: 951-309-2141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SOUTHERN CALIFORNIA PSYCHIATRIC GROUP, INC

NPI Number 1285951871
LBN Legal business name SOUTHERN CALIFORNIA PSYCHIATRIC GROUP, INC
Authorized official BHUVANESWARI NALLAMOTHU - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2010
Last updated 05/23/2020 - About 6 years ago
Identifiers
CA License # A89852
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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