IndividualActive
Andrea Tabuenca, PHD
NPI 1093192874 · Clinical Child & Adolescent Psychologist · Los Angeles, CA
Provider details
- NPI number
- 1093192874
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- PSY28819 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
760 Westwood Plz Ste 47-417
Los Angeles, CA 90095-1419
Phone: (310) 825-6731
Approximate (ZIP-level) locationGet directions
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Registry dates
- Enumerated
- 2015-04-30
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.