Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY10748 | CA |
Y | 103T00000X | Psychologist | PSY10748 | CA |
NPI | 1013173863 |
---|---|
Provider Name | Dr. Camille Frances Warnberg |
First Address | Los Angeles, CA 90024-4902 |
Second Address | Los Angeles, CA 90024-4902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2008 |
Last Update Date | 31/07/2008 |