El Camino Psychology Services. Pc

LBN: El Camino Psychology Services. Pc
El Camino Psychology Services. Pc is an health care organization with primary practice located at 2181 S El Camino Real Ste 307 , Oceanside CA 92054-6288. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. El Camino Psychology Services. Pc can be contacted via phone (760) 722-4233, or through Kilbourne, Brock Kenneth via phone (760) 722-4233.

Contact Information

Primary practice address
2181 S El Camino Real Ste 307 Oceanside CA 92054-6288
Fax: (760) 722-4232
Website:
Authorized official contact:
Name: Kilbourne, Brock Kenneth PH.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10467 California

Profile Details

NPI number 1932233178
LBN Legal business name El Camino Psychology Services. Pc
DBA Doing business as
Authorized official Kilbourne, Brock Kenneth PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Oct 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932233178 NPPES
California MEDICAID PSY10467

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