Kimberly Tangen Phd, Licensed Psychologist, Inc.

LBN: Kimberly Tangen Phd, Licensed Psychologist, Inc.
Kimberly Tangen Phd, Licensed Psychologist, Inc. is an health care organization with primary practice located at 4519 Admiralty Way Ste 110 , Marina Del Rey CA 90292-5455. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Kimberly Tangen Phd, Licensed Psychologist, Inc. can be contacted via phone (323) 538-4779, or through Tangen, Kimberly Anne via phone (323) 538-4779.

Contact Information

Primary practice address
4519 Admiralty Way Ste 110 Marina Del Rey CA 90292-5455
Phone: (323) 538-4779
Fax: (323) 817-1150
Website:
Map and Directions
Authorized official contact:
Name: Tangen, Kimberly Anne PHD QME
Phone: (323) 538-4779

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 22865 California

Profile Details

NPI number 1457806770
LBN Legal business name Kimberly Tangen Phd, Licensed Psychologist, Inc.
DBA Doing business as
Authorized official Tangen, Kimberly Anne PHD QME
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2016
Last updated Dec 2nd, 2016 - about 10 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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