Provider Demographics
NPI:1821394578
Name:WESTERN PACIFIC PSYCHOLOGICAL NETWORK, INC.
Entity Type:Organization
Organization Name:WESTERN PACIFIC PSYCHOLOGICAL NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OROPEZA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:818-343-1918
Mailing Address - Street 1:6345 BALBOA BLVD STE 145
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1510
Mailing Address - Country:US
Mailing Address - Phone:818-343-1915
Mailing Address - Fax:818-985-7898
Practice Address - Street 1:6345 BALBOA BLVD STE 145
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1510
Practice Address - Country:US
Practice Address - Phone:818-343-1915
Practice Address - Fax:818-985-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty