Organization · Type 2 NPI

Managedmed, Inc.

Clinical Psychologist · Los Angeles, CA

NPI number 1366738676 Active

Practice location

5455 Wilshire Blvd, Suite 1903
Los Angeles, CA 90036-4201

Call (323) 934-3861 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY 7084 (CA)
Clinical Psychologist 103TC0700XPSY 19483 (CA)
Internal Medicine Physician 207R00000XA65071 (CA)
Orthopaedic Surgery Physician 207X00000XA18616 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1366738676

Managedmed, Inc.'s National Provider Identifier is 1366738676, issued on Jun 24, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 24, 2011.