Provider Demographics
NPI:1356529549
Name:PARADIGM PSYCHOLOGICAL CENTER
Entity type:Organization
Organization Name:PARADIGM PSYCHOLOGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:310-808-5642
Mailing Address - Street 1:28512 FARRIER DR
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-4502
Mailing Address - Country:US
Mailing Address - Phone:310-773-1907
Mailing Address - Fax:877-285-2085
Practice Address - Street 1:28494 WESTINGHOUSE PL
Practice Address - Street 2:SUITE 213
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-0930
Practice Address - Country:US
Practice Address - Phone:310-808-5642
Practice Address - Fax:877-285-2085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-10
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21818103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty