Organization
HEALTH CAPACITY, PC
Active
Other names
Health Capacity
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHONDA JESSUM PH.D. (OWNER)
(818) 880-0250
Entity
Organization
Contact information
Practice address
280 N WESTLAKE BLVD, SUITE 205, WESTLAKE VILLAGE, CA 91362-3759
(818) 880-0250
Mailing address
4831 LAS VIRGENES RD # 177, CALABASAS, CA 91302-1911
(818) 880-0250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY15775
CA
163W00000X
Registered Nurse
644861
CA
174400000X
Specialist
Primary
PSY15775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP15775
MEDICARE PTAN
CA
Enumeration date
02/24/2014
Last updated
02/24/2014
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