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Kenneth Subotnik, Ph.d., Inc
Adult Mental Health Clinic/Center in Los Angeles, California
NPI 1598924953

Kenneth Subotnik, Ph.d., Inc is an Adult Mental Health Clinic/Center based in Los Angeles, CA and is specialized in Adult Mental Health. Kenneth Subotnik, Ph.d., Inc practices in Los Angeles, CA. The NPI Number for Kenneth Subotnik, Ph.d., Inc is 1598924953 and holds a License No. PSY12770 (California).

The current practice location address for Kenneth Subotnik, Ph.d., Inc is 10850 Wilshire Blvd Ste 240, Los Angeles, CA and can be reached out via phone at 310-824-4600.

Location: 10850 Wilshire Blvd Ste 240, Los Angeles, CA, 90024-4308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598924953
Provider Name
Kenneth Subotnik, Ph.d., Inc
Credential
Provider Entity Type
Organization
Address
10850 Wilshire Blvd Ste 240, Los Angeles, CA, 90024-4308
Phone Number
310-824-4600
Fax Number
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSY127700 05 CA
PSY12770 01 CA CALIFORNIA PSYCHOLOGIST LICENSE
institution
Provider Business Practice Location Address Details
Address
10850 Wilshire Blvd Ste 240
City
Los Angeles
State
California
Zip
90024-4308
Phone Number
310-824-4600
Fax Number
person
Provider Business Mailing Address Details
Address
10850 Wilshire Blvd Ste 240
City
Los Angeles
State
California
Zip
90024-4308
Phone Number
310-824-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
PSY12770 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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