Organization
HALLOWELL-WEST MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A. SELZER M.D. (OWNER)
(858) 350-4595
Entity
Organization
Contact information
Practice address
140 MARINE VIEW AVE, SUITE 110, SOLANA BEACH, CA 92075-2133
(858) 350-4595
(858) 350-4596
Mailing address
140 MARINE VIEW AVE, SUITE 110, SOLANA BEACH, CA 92075-2133
(858) 350-4595
(858) 350-4596
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 17903
CA
103TP0016X
Prescribing (Medical) Psychologist
A69151
CA
103TP0016X
Prescribing (Medical) Psychologist
G50175
CA
106H00000X
Marriage & Family Therapist
40523
CA
Other
Enumeration date
04/16/2007
Last updated
09/11/2025
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