Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY13099 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY13099 | CA |
NPI | 1003904491 |
---|---|
Provider Name | Dr. Beatriz Coca |
First Address | Altadena, CA 91001-2004 |
Second Address | Altadena, CA 91001-2004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 28/01/2022 |