Active NPI
Camden Physicians Grou, Inc.
- Adult Mental Health Clinic/Center
- Los Angeles, CA
National Provider Identifier
1790156271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- CAMDEN PHYSICIANS GROU, INC.
- Practice address
- 10780 Santa Monica Blvd
Suite 105
Los Angeles, CA 90025-4749 - Phone
- (844) 422-6336
- NPI assigned
- Oct 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Jessica Klein
- Title
- Secretary
- Phone
- (844) 422-6336
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY25565 | CA | |
| Counseling Psychologist | 103TC1900X | PSY19135 | CA | |
| Clinical Social Worker | 1041C0700X | LCS59977 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC48114 | CA | |
| Nutritionist | 133N00000X | AC11797 | CA | |
| Acupuncturist | 171100000X | AC11797 | CA | |
| Psychiatry Physician | 2084P0800X | A112538 | CA | |
| Addiction Psychiatry Physician | 2084P0802X | A100456 | CA | |
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Clinical Medical Laboratory | 291U00000X | 05D2068012 | CA |
Addresses
Primary practice location
10780 Santa Monica Blvd
Suite 105
Los Angeles, CA 90025-4749
Mailing address
10780 Santa Monica Blvd
Suite 105
Los Angeles, CA 90025-4749
Phone (844) 422-6336
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444348800000",
"number": "1790156271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD",
"address_2": "SUITE 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254749",
"telephone_number": "844-422-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD",
"address_2": "SUITE 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254749",
"telephone_number": "844-422-6336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMDEN PHYSICIANS GROU, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-09",
"last_updated": "2015-10-09",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "844-422-6336",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25565",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY19135",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS59977",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC48114",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "CA",
"license": "AC11797",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11797",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A112538",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CA",
"license": "A100456",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "05D2068012",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.