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Organization

THE CAMDEN CENTER OLDER ADULTS PROGRAM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JESSICA KLEIN (DIRECTOR OF OPERATIONS)
(844) 422-6336
Entity
Organization

Contact information

Practice address
10780 SANTA MONICA BLVD STE 105, LOS ANGELES, CA 90025-7613
(844) 422-6336
(888) 887-2955
Mailing address
10780 SANTA MONICA BLVD STE 105, LOS ANGELES, CA 90025-7613
(844) 422-6336
(888) 887-2955

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PSB4021549
CA
2084P0800X
Psychiatry Physician
A112538
CA
2084P0805X
Geriatric Psychiatry Physician
Primary
39712
CA

Other

Enumeration date
10/01/2015
Last updated
10/01/2015
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