Organization · NPI-2

Karen E Dymond Phd INC

Clinic/Center · La Habra, CA

NPI number1952525602
StatusActive
Last updated in NPPESJan 30, 2018

Details

NPI
1952525602
Entity type
Organization (NPI-2)
Legal business name
Karen E Dymond Phd INC
Organization subpart
No
Enumeration date
Apr 12, 2007
Last updated
Jan 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1480 S Harbor Blvd
Suite 14
La Habra, CA 90631-7534

Phone 714-447-8782 · Fax 714-447-9386

Mailing address

1480 South Harbor Blvd
Suite 14
La Habra, CA 90631-7534

Phone 714-447-8782 · Fax 714-447-9386

Authorized official

Wayne Philip Lenz
Cfo
7144478782

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