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
PACIFIC PSYCHOLOGICAL SERVICES, INC.
Active
Organization
PACIFIC PSYCHOLOGICAL SERVICES, INC.
Active
Other names
Kim Ajlouny, Psy.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM AJLOUNY FORD PSY.D. (CIINICAL PSYCHOLOGIST/OWNER)
(858) 229-6986
Entity
Organization
Contact information
Practice address
265 SANTA HELENA STE 214, SOLANA BEACH, CA 92075
(858) 480-1661
(858) 712-3881
Mailing address
2351 MANCHESTER AVE, CARDIFF, CA 92007-2009
(858) 229-6986
(858) 712-3881
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY23171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB234246
MEDICARE PTAN
CA
01
—
CW586A
MEDICARE PTAN
CA
Enumeration date
05/01/2015
Last updated
05/16/2018
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