| Organization Name: | NEUROBEHAVIORAL MEDICAL GROUP INC |
| NPI Number: | 1336354885 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAM CALDERON (BILLING MANAGER) |
| Mailing Address: | 716 Yarmouth Rd Ste 203 Palos Verdes Estates |
| State: | CA US |
| Postal Code: | 902742668 |
| Phone Number: | 3103773070 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 06/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY10353 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |