Organization
DR. NAGAR MEDICAL PSYCHOLOGY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIVA B. NAGAR PH.D (PRESIDENT)
(818) 361-7717
Entity
Organization
Contact information
Practice address
14901 RINALDI ST STE 335, MISSION HILLS, CA 91345-1237
(818) 361-7717
(818) 831-7090
Mailing address
PO BOX 7729, NORTHRIDGE, CA 91327-7729
(818) 361-7717
(818) 831-7090
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY13502
CA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY13502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114933074
NPI
CA
01
—
CP13502B
MEDICARE PTAN
CA
01
—
PSY13502
LICENSE
CA
Enumeration date
01/23/2009
Last updated
07/10/2014
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