Angela Marie Bissada in Los Angeles - Clinical Child & Adolescent

Angela Marie Bissada - NPI 1659463248

Angela Marie Bissada is a Clinical Child & Adolescent in Los Angeles, California. Angela Marie Bissada practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Angela Marie Bissada is 1659463248. The last update date is 2007-07-08.

Angela Marie Bissada's current location address is 4650 W Sunset Blvd, Los Angeles, California. You can contact this provider via phone number 3236692350 and fax number 3236711502. The mailing address for Angela Marie Bissada is 4650 W Sunset Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela Marie Bissada
Address 4650 W Sunset Blvd, Los Angeles, California
Phone Number 3236692350
Fax Number 3236711502
Sole Proprietor N
Credentials PSYD

NPI Number Detail

NPI Number 1659463248
Provider Enumeration Date 2006-09-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4650 W Sunset Blvd
City Los Angeles
State California (CA)
Post Code 900276062
Phone Number 3236692350
Fax Number 3236711502

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PSY15156
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PSY151560 CA --

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FAQs about Angela Marie Bissada

What is the unique 10-digit identifier code assigned to Angela Marie Bissada by the Centers for Medicare & Medicaid Services?

The Angela Marie Bissada has been issued the NPI (National Provider Identifier) 1659463248 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Angela Marie Bissada?

The Angela Marie Bissada is physically situated at 4650 W Sunset Blvd, in the city of Los Angeles, state of CA, with the postal code 900276062.

What is the Angela Marie Bissada's specialty and taxonomy code?

The Angela Marie Bissada's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1659463248 to Angela Marie Bissada?

The Centers for Medicare & Medicaid Services originally issued the 1659463248 to Angela Marie Bissada on 2006-09-29.

When was the Angela Marie Bissada's information last updated?

The Angela Marie Bissada's information was last updated on 2007-07-08.

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