Carl King
Psychologist, Clinical in Los Angeles, CA. Organization (NPI-2).
NPI number1164053765
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1164053765
- Entity type
- Organization (NPI-2)
- Legal business name
- Carl King
- Organization subpart
- No
- Enumeration date
- Feb 1, 2020
- Certification date
- Sep 1, 2021
- Last updated
- Sep 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
2001 S Barrington Ave Ste 204Los Angeles, CA 90025-5385
Phone 818-501-5375
Mailing address
8574 Cole Crest DrLos Angeles, CA 90046-1914
Authorized official
Carl King
Clinical Psycologist
8185015375
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