SOUTHERN CALIFORNIA PSYCHOLOGICAL is a specialist in Tustin, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN CALIFORNIA PSYCHOLOGICAL NPI is 1053745497. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
17821 17TH ST STE 250 TUSTIN, CA ZIP 92780-173 Phone: (714) 505-2093 Fax: (714) 573-0072
The provider's authorized official is Kimberely Tilley . The authorized official title is President and has the following contact phone number (714) 505-2093.
The enumeration date for this NPI number is 8/21/2013 and was last updated on 8/21/2013.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.
