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NPI 1831626555

NPI 1831626555 : ANGELES PSYCHOLOGY GROUP, A PROFESSIONAL PSYCHOLOGY CORPORATION : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1831626555
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANGELES PSYCHOLOGY GROUP, A PROFESSIONAL PSYCHOLOGY CORPORATION 
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Dates
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    Enumeration Date     |    05/11/2017
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    6363 WILSHIRE BLVD STE 520 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90048-5727
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    Country              |    US
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    Telephone            |    310-866-0440
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6363 WILSHIRE BLVD STE 520 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90048-5727
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    Country              |    US
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    Telephone            |    310-866-0440
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. NEIL  SCHIERHOLZ 
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    Credential           |    PSYD
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    Telephone            |    310-866-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TF0000X
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    Taxonomy Name        |    Family Psychologist
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    License Number       |    PSY25154
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    103TP2701X
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    Taxonomy Name        |    Group Psychotherapy Psychologist
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    License Number       |    PSY25154
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    103TA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Psychologist
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    License Number       |    PSY25154
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    103TA0700X
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    Taxonomy Name        |    Adult Development & Aging Psychologist
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    License Number       |    PSY25154
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PSY25154
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    License Number State |    CA
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Taxonomy #6
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY25154
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    License Number State |    CA
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