| Neurobehavioral Healthcare Center | |
|
326 S Pacific Coast Hwy Ste 200 Redondo Beach CA 90277-3769 | |
| (310) 855-3288 | |
| (310) 855-3498 |
| Full Name | Neurobehavioral Healthcare Center |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 326 S Pacific Coast Hwy Ste 200, Redondo Beach, California |
| Authorized Official Name and Position | Raphael Ziegler (PRESIDENT) |
| Authorized Official Contact | 3108553288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Healthcare Center 326 S Pacific Coast Hwy Ste 200 Redondo Beach CA 90277-3769 Ph: (310) 855-3498 | Neurobehavioral Healthcare Center 326 S Pacific Coast Hwy Ste 200 Redondo Beach CA 90277-3769 Ph: (310) 855-3288 |
| NPI Number | 1053598201 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 05/20/2019 |
| Medicare PECOS PAC ID | 3779646369 |
|---|---|
| Medicare Enrollment ID | O20090107000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053598201 | NPI | - | NPPES |
| Provider Name | Raphael Ziegler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497895601 PECOS PAC ID: 0547356925 Enrollment ID: I20071016000351 |
| Provider Name | Lauren Brubaker Keats |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356699342 PECOS PAC ID: 0749556157 Enrollment ID: I20171030000929 |
| Provider Name | Grace Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063939759 PECOS PAC ID: 8325476229 Enrollment ID: I20200306001188 |
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