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Organization
CAL PSYCH FMT
Active
Organization
CAL PSYCH FMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C.C. LILIENFELD (EXECUTIVE DIRECTOR)
(818) 385-0050
Entity
Organization
Contact information
Practice address
16530 VENTURA BLVD, SUITE 200, ENCINO, CA 91436-4554
(818) 385-0050
(818) 385-1166
Mailing address
16530 VENTURA BLVD, SUITE 200, ENCINO, CA 91436-4554
(818) 385-0050
(818) 385-1166
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103TF0200X
Forensic Psychologist
—
NULL
103TF0200X
Forensic Psychologist
—
—
202C00000X
Independent Medical Examiner Physician
Primary
—
NULL
202C00000X
Independent Medical Examiner Physician
Primary
—
—
2084F0202X
Forensic Psychiatry Physician
—
NULL
2084F0202X
Forensic Psychiatry Physician
—
—
Other
Enumeration date
06/21/2007
Last updated
09/11/2025
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