DR. JORGE MARIO JUAREZ-ASTURIAS (NPI# 1326181520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326181520 |
| Entity Type | Individual |
| Full Name | DR. JORGE MARIO JUAREZ-ASTURIAS |
| Credential | PSYD |
| Practice Address |
610 Pacific Coast Hwy Suite 205 Seal Beach CA 90740-6604 |
| Mailing Address |
3373 Rowena Ave Apt 4 Los Angeles CA 90027-2949 |
| Practice Telephone | 3234454476 |
| Practice Fax Number | 3236637644 |
| Mailing Telephone | 3234454476 |
| Mailing Fax Number | 3236637644 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 18812 | CA | Behavioral Health & Social Service Providers |
| Street Address |
610 PACIFIC COAST HWY SUITE 205 |
| City | SEAL BEACH |
| State | CA |
| Zip Code | 90740-6604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063491363 | John F Tholen | Psychologist | 610 Pacific Coast Hwy, 201, Seal Beach, CA 90740-6604 | 2006-01-13 |
| 1992169940 | Keystone Pediatric Behavioral Health | Psychologist | 610 Pacific Coast Hwy, Suite 201, Seal Beach, CA 90740-6604 | 2016-04-06 |
| 1710022900 | Erik Allan Edler | Marriage & Family Therapist | 610 Pacific Coast Hwy, Suite 205, Seal Beach, CA 90740-6604 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564608 | Betty Lou Halloran | Technician | 1320 Kenwood Rd 158g, Seal Beach, CA 90740 | 2019-08-20 |
| 1235794975 | Elizabeth Irene Williams | Behavior Technician | 30002 Dow Ave #122, Tustin, CA 90740 | 2019-05-08 |
| 1679994834 | Alexis Worth | Nurse Practitioner | 1305 Catalina Ave., Seal Beach, CA 90740 | 2013-12-13 |
| 1386074128 | Santa Ana Hospice Inc | Hospice Care, Community Based | 610 Pacific Coast Hwy Ste 211, Seal Beach, CA 90740 | 2013-11-14 |
| 1902242019 | Bernard Georges Gantes | Dentist | 2999 Westminster, Suite 108, Seal Beach, CA 90740 | 2013-05-15 |
| 1144592064 | Brooke Ashley Pancer | Dentist | 2999 Westminster Blvd Seal Beach Dental Implants, Seal Beach, CA 90740 | 2012-02-08 |
| 1003187808 | Justin Cheongsiatmoy | Psychiatry & Neurology | 1301 Kenwood Road, Suite 159b, Seal Beach, CA 90740 | 2012-01-25 |
| 1386912830 | A Peace of Mind Home Care LLC | In Home Supportive Care | 1050 Electric Ave, Suite 308-1, Seal Beach, CA 90740 | 2011-12-12 |
| 1770888430 | Kathleen Cleary Adamovic | Marriage & Family Therapist | 500 Pacific Coast Highway, Suite 214, Seal Beach, CA 90740 | 2011-01-11 |
| 1710218177 | Misty Oppenheim-leaf | Behavioral Analyst | 200 Marina Drive, Suite C, Seal Beach, CA 90740 | 2010-01-26 |
| Find all providers in zip 90740 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965475 | Shoreline Mental Health, Inc | Psychologist | 610 Pacific Coast Hwy Ste 201, Seal Beach, CA 90740-6650 | 2017-11-13 |
| 1407095177 | John James Mceachin | Psychologist | 200 Marina Dr, Seal Beach, CA 90740-6023 | 2009-02-19 |
| 1659404127 | Gary Freedman-harvey | Psychologist | 909 Electric Ave Ste 202, Seal Beach, CA 90740-6336 | 2007-03-14 |
| 1225160682 | Elizabeth D. Kraft | Psychologist | 412 Emerald Pl, Seal Beach, CA 90740-6223 | 2007-03-12 |
| 1710253760 | Sanford Jay Slater | Psychologist | 200 Marina Dr, Seal Beach, CA 90740-6023 | 2012-03-23 |
| 1770684979 | Sandra Lee Smith | Psychologist | 909 Electric Ave, Suite 212, Seal Beach, CA 90740-6336 | 2006-09-26 |
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| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | SEAL BEACH |
| Zip Code | 90740 |
Please comment or provide details below to improve the information on DR. JORGE MARIO JUAREZ-ASTURIAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.