| Seven Rays Psychology Corp | |
|
9709 Artesia Blvd Ste 101 Bellflower CA 90706-8007 | |
| (310) 663-7163 | |
| Not Available |
| Full Name | Seven Rays Psychology Corp |
|---|---|
| Speciality | Psychologist |
| Location | 9709 Artesia Blvd Ste 101, Bellflower, California |
| Authorized Official Name and Position | John Thomas Pietrzak (CEO) |
| Authorized Official Contact | 3106637163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seven Rays Psychology Corp 21838 Encina Rd Topanga CA 90290-3527 Ph: (310) 663-7163 | Seven Rays Psychology Corp 9709 Artesia Blvd Ste 101 Bellflower CA 90706-8007 Ph: (310) 663-7163 |
| NPI Number | 1780397927 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Medicare PECOS PAC ID | 5698149235 |
|---|---|
| Medicare Enrollment ID | O20230321002352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780397927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | John T Pietrzak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922480946 PECOS PAC ID: 2062728991 Enrollment ID: I20150908002375 |
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