Provider Demographics
NPI:1720236557
Name:PACIFIC PSYCHOLOGICAL SERVICES, INC.
Entity type:Organization
Organization Name:PACIFIC PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:951-296-6046
Mailing Address - Street 1:41690 ENTERPRISE CIR N
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5616
Mailing Address - Country:US
Mailing Address - Phone:951-795-1590
Mailing Address - Fax:951-296-6048
Practice Address - Street 1:41690 ENTERPRISE CIR N
Practice Address - Street 2:SUITE 104
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5616
Practice Address - Country:US
Practice Address - Phone:951-795-1590
Practice Address - Fax:951-296-6048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21069103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1770654949OtherNPI ENTITY 1