Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PEDIATRIC MINDS MEDICAL CENTER
Active
Organization
PEDIATRIC MINDS MEDICAL CENTER
Active
Other names
Early Childhood Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA APODACA (ACCOUNT REPRESENTATIVE)
(424) 206-1919
Entity
Organization
Contact information
Practice address
3524 TORRANCE BLVD, SUITE 103, TORRANCE, CA 90503-4821
(310) 540-1630
(310) 543-0400
Mailing address
3524 TORRANCE BLVD, SUITE 103, TORRANCE, CA 90503-4821
(310) 540-1630
(310) 543-0400
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
A78624
CA
Other
Enumeration date
07/28/2010
Last updated
09/17/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up