Healthcare Provider Details

I. General information

NPI: 1043730823
Provider Name (Legal Business Name): LUIS A. NAGY PSYCHOANALYST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 11/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S 1ST AVE STE H
ARCADIA CA
91006-3881
US

IV. Provider business mailing address

501 S 1ST AVE STE H
ARCADIA CA
91006-3881
US

V. Phone/Fax

Practice location:
  • Phone: 626-384-7421
  • Fax:
Mailing address:
  • Phone: 626-384-7421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LUIS ALEJANDRO NAGY
Title or Position: OWNER
Credential:
Phone: 626-384-7421