KEYSTONE PEDIATRIC BEHAVIORAL HEALTH; NPI #1992169940

Contact Information

KEYSTONE PEDIATRIC BEHAVIORAL HEALTH

610 PACIFIC COAST HWY
SUITE 201
SEAL BEACH, CA 90740-6604

Phone: 562-356-8600
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Intellectual & Developmental Disabilities	103TM1800X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for KEYSTONE PEDIATRIC BEHAVIORAL HEALTH

NPI # 1992169940

LBN Legal business name KEYSTONE PEDIATRIC BEHAVIORAL HEALTH

Authorized official MICHELE OCEN - (PSYCHOLOGIST/ BCBA)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/06/2016

Last updated 04/06/2016 - About 10 years ago

Identifiers

License #

27081

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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KEYSTONE PEDIATRIC BEHAVIORAL HEALTH

Contact Information

Specialty

Intellectual & Developmental Disabilities

NPI Profile & details for KEYSTONE PEDIATRIC BEHAVIORAL HEALTH

Reviews for KEYSTONE PEDIATRIC BEHAVIORAL HEALTH