NPIMap

Organization Active NPI

Ibemed, a Professional Psychological Corporation

  • Psychologist
  • Chino Hills, CA
National Provider Identifier
1679813620
Registry record updated Nov 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY24890 Issued in CA
Legal business name
IBEMED, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Practice address
15588 Canon LN
Chino Hills, CA 91709-5242
Phone
(213) 369-1190
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Levon Margolin, PH.D.
Title
Ceo
Phone
(213) 369-1190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY24890 CA Primary

Addresses

Primary practice location

15588 Canon LN
Chino Hills, CA 91709-5242

Mailing address

15588 Canon LN
Chino Hills, CA 91709-5242
Phone (213) 369-1190

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416700800000",
    "number": "1679813620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15588 CANON LN",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095242",
            "telephone_number": "213-369-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15588 CANON LN",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095242",
            "telephone_number": "213-369-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBEMED, A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2014-11-23",
        "status": "A",
        "authorized_official_last_name": "MARGOLIN",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-369-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.