Oceanside Psychology Clinic

NPI #1760922991 in Redondo Beach, California

Provider Information

NPI Number: 1760922991
Entity Type: Organization
Organization Name: Oceanside Psychology Clinic
Primary Specialty: Psychologist - Addiction (Substance Use Disorder)
Enumeration Date: Mar 7, 2017
Last Updated: Jul 24, 2019

Practice Location

Address: 212 YACHT CLUB WAY STE A6
City: Redondo Beach
State: California
ZIP Code: 90277-6907
Phone: (310) 956-1406

Authorized Official

Name: URVI NATHA, PSY.D.
Title: CLINICAL DIRECTOR/CEO
Phone: (310) 944-1058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X	Primary

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