Camille Runa Ace, PSY.D.
Individual provider Active NPI Psychologist · Norwalk, CA
NPI 1740317650 · NPPES record last updated Jul 24, 2013
Key facts
- NPI
- 1740317650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 11401 Bloomfield Ave
Norwalk, CA 90650 - Phone
- (562) 806-5000
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
11401 Bloomfield Ave
Norwalk, CA 90650
Mailing address
11401 Bloomfield Ave
Norwalk, CA 90650
Phone (310) 717-4696
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.