Healthcare Provider Details

I. General information

NPI: 1932607785
Provider Name (Legal Business Name): TUMPERI PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2018
Last Update Date: 03/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 WOODRUFF AVENUE SUITE 108
LONG BEACH CA
90808-2148
US

IV. Provider business mailing address

3840 WOODRUFF AVENUE SUITE 108
LONG BEACH CA
90808-2148
US

V. Phone/Fax

Practice location:
  • Phone: 562-304-5781
  • Fax: 562-452-7477
Mailing address:
  • Phone: 562-304-5781
  • Fax: 562-452-7477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number26257
License Number StateCA

VIII. Authorized Official

Name: MRS. SANDRA L FLORES
Title or Position: CLINICAL SOCIAL WORK
Credential: LCSW
Phone: 562-304-5781