NPI 1003001009

Regents of University of California

Organisation Clinical Child & Adolescent Psychologist Irvine, CA

Practice location

Address: 19262 Jamboree Rd, Irvine, CA 92612-2502
Phone: (949) 824-2343
Fax: (949) 824-8737

Authorised official

Name: Ronald a Kotkin
Title: Clinical Professor
Phone: (949) 824-6292

Registered specialties

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence PSY12351 (CA)

Other Psychologist providers in California →

Registry record

NPI: 1003001009
Entity type: Organization
NPI issued: 12 Sep 2007
Record last updated: 14 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.