Bonita Weavingearth in Los Angeles - Clinical
Bonita Weavingearth - NPI 1356409759
Bonita Weavingearth is a Clinical in Los Angeles, California. Bonita Weavingearth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonita Weavingearth is 1356409759. The last update date is 2007-07-08.
Bonita Weavingearth's current location address is 11080 W Olympic Blvd Fl 1, Los Angeles, California. You can contact this provider via phone number 3106996610. The mailing address for Bonita Weavingearth is 11080 W Olympic Blvd Fl 1, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonita Weavingearth |
|---|---|
| Address | 11080 W Olympic Blvd Fl 1, Los Angeles, California |
| Phone Number | 3106996610 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1356409759 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11080 W Olympic Blvd Fl 1 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900641937 |
| Phone Number | 3106996610 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY17678 |
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Definition: 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 |
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What is the unique 10-digit identification code issued to Bonita Weavingearth by the Centers for Medicare & Medicaid Services?
The Bonita Weavingearth has been assigned the NPI (National Provider Identifier) 1356409759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Bonita Weavingearth is physically located?
The Bonita Weavingearth is situated at the following address: 11080 W Olympic Blvd Fl 1, Los Angeles, CA 900641937.
What is the Bonita Weavingearth's area of specialization and corresponding taxonomy classification?
The Bonita Weavingearth's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did the Bonita Weavingearth receive its 1356409759?
The Bonita Weavingearth was issued its 1356409759 on 2006-12-05, which is the date when the organization was assigned this unique identifier.
When was the information regarding Bonita Weavingearth most recently updated?
The details pertaining to the Bonita Weavingearth, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH