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Contact Information

LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION
4929 WILSHIRE BLVD
STE 510
LOS ANGELES, CA90010-3808
 Phone: 310-734-5579
 Fax: 310-734-5511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION

NPI # 1740531789
LBN Legal business name LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION
Authorized official ISRAEL RUBENSTEIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2012
Last updated 11/30/2012 - About 14 years ago
Identifiers n/a
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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