DR. ELSA BUSCH


Address: 1420 Ridgeway Rd, San Marino, CA 91108
Phone: 6263214789

DR. ELSA BUSCH (NPI# 1538499777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538499777
Entity Type Individual
Full Name DR. ELSA BUSCH
Credential PSY.D.
Practice Address 1420 Ridgeway Rd
San Marino
CA 91108
Mailing Address 1420 Ridgeway Rd
San Marino
CA 91108-2629
Practice Telephone 6263214789
Practice Fax Number 6266981155
Mailing Telephone 6263214789
Mailing Fax Number 6266981155
Enumeration Date 2010-01-11
Last Update Date 2019-05-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
PSY22979 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1420 RIDGEWAY RD
City SAN MARINO
State CA
Zip Code 91108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235781808 Bhc Alhambra Hospital, Inc. Psychiatric Residential Treatment Facility 1925 Lombardy Road, San Marino, CA 91108 2019-07-12
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1386068237 Dorothy Agnes Mcvann General Practice 764 Winston Ave., San Marino, CA 91108 2014-02-13
1215372040 Doctors Choice Medical Group Exclusive Provider Organization 2295-a Huntington Drive, San Marino, CA 91108 2013-05-07
1831449222 Apcn-aco, A Medical Professional Corp Exclusive Provider Organization 2360 Huntington Drive #201, C/o Mso, Inc. of Southern California, San Marino, CA 91108 2012-09-13
1598991309 Nabil Kamel Habib Family Medicine 2230 Oak Knoll Ave., San Marino, CA 91108 2009-06-08
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1386282762 Danielle Wischenka Psychologist 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 2019-12-16
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Competitor

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City SAN MARINO
Zip Code 91108

Improve Information

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Dataset Information

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.

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