# LOS ANGELES PSYCHOLOGY COLLECTIVE A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588421531
- **Authorized official:** JONATHAN YAHALOM PHD (PSYCHOLOGIST/CEO)
- **Authorized official phone:** (323) 744-0271

## Contact information

- **Practice address:** 11850 WILSHIRE BLVD. SUITE 200A, LOS ANGELES, CA 90025-6609
- **Practice address phone:** (323) 744-0271
- **Mailing address:** 11850 WILSHIRE BLVD. SUITE 200A, LOS ANGELES, CA 90025-6609
- **Mailing address phone:** (323) 744-0271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | Yes |
| 103TC0700X | Clinical Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 03/05/2024