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Contact Information

ACT5 COMMUNITY LIAISON CORP
955 DEEP VALLEY DR
STE 2411
PALOS VERDES PEN, CA90274
 Phone: 424-262-7775
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ACT5 COMMUNITY LIAISON CORP

NPI Number 1568222776
LBN Legal business name ACT5 COMMUNITY LIAISON CORP
Authorized official KALINA NOELLE - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2024
Last updated 04/06/2024 - About 2 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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