Regents Of University Of California in Irvine - Clinical Child & Adolescent
Regents Of University Of California - NPI 1912186628
Regents Of University Of California is a Clinical Child & Adolescent in Irvine, California. Regents Of University Of California practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Regents Of University Of California is 1912186628. The last update date is 2007-11-07.
Regents Of University Of California's current location address is 19722 Macarthur Blvd, Irvine, California. You can contact this provider via phone number 9498241800 and fax number 9498241811. The mailing address for Regents Of University Of California is 19722 Macarthur Blvd, Irvine, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Regents Of University Of California |
---|---|
Address | 19722 Macarthur Blvd, Irvine, California |
Phone Number | 9498241800 |
Fax Number | 9498241811 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CLINICAL P |
---|---|
Authorized Official Name | Wigal L Tim |
Credentials | PH.D. |
Telephone Number | 9498241812 |
NPI Number Detail
NPI Number | 1912186628 |
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Provider Enumeration Date | 2007-10-30 |
Last Updated Date | 2007-11-07 |
Provider Mailing Address Detail
Address | 19722 Macarthur Blvd |
---|---|
City | Irvine |
State | California (CA) |
Post Code | 926122404 |
Phone Number | 9498241800 |
Fax Number | 9498241811 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Child & Adolescent |
---|---|
Taxonomy | 103Tc2200X |
Licence No | PSY14209 |
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 |
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What is the Regents Of University Of California's 1912186628?
The Regents Of University Of California's NPI (National Provider Identifier) Number is 1912186628. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Regents Of University Of California?
The Regents Of University Of California is physically situated at 19722 Macarthur Blvd, in the city of Irvine, state of CA, with the postal code 926122404.
What is Regents Of University Of California's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Regents Of University Of California is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912186628 to Regents Of University Of California?
The Centers for Medicare & Medicaid Services originally issued the 1912186628 to Regents Of University Of California on 2007-10-30.
As of what date were the details pertaining to Regents Of University Of California last refreshed?
The information related to the Regents Of University Of California, including its address, specialty, and other relevant details, was last updated on 2007-11-07.
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