Lemon Heights Holdings INC.
Psychologist in Cerritos, CA. Organization (NPI-2).
NPI number1982945689
StatusActive
Last updated in NPPESMar 6, 2013
Details
- NPI
- 1982945689
- Entity type
- Organization (NPI-2)
- Legal business name
- Lemon Heights Holdings INC.
- Organization subpart
- No
- Enumeration date
- Mar 6, 2013
- Last updated
- Mar 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PSY10129 | CA | Yes |
Practice location
17215 Studebaker RoadSuite 110
Cerritos, CA 90703-2521
Phone 562-860-2210 · Fax 562-860-1154
Mailing address
Po Box 2089Artesia, CA 90702-2089
Phone 562-860-2210 · Fax 714-940-0941
Authorized official
Robert Nils Johansen
Owner-Officer
5628602210
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