Provider Demographics
NPI:1285271668
Name:BAIG, AMBER LATIF (PSYD)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:LATIF
Last Name:BAIG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16478 BEACH BLVD # 377
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7860
Mailing Address - Country:US
Mailing Address - Phone:909-257-7155
Mailing Address - Fax:
Practice Address - Street 1:16478 BEACH BLVD # 377
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7860
Practice Address - Country:US
Practice Address - Phone:909-257-7155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-05
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28823103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical