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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.

NPI Number 1376913400
LBN Legal business name THE CAMDEN CENTER OLDER ADULTS PROGRAM, INC.
Authorized official JESSICA KLEIN - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2015
Last updated 10/01/2015 - About 11 years ago
Identifiers
CA License # 39712
CA License # A112538
CA License # PSB4021549
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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