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Organization
KAREN YADLEY COBB PHD A PROFESSIONAL CORPORATION
Active
Organization
KAREN YADLEY COBB PHD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN Y. COBB PH.D. (PRESIDENT)
(310) 275-8264
Entity
Organization
Contact information
Practice address
1800 FAIRBURN AVE, SUITE 103, LOS ANGELES, CA 90025-5958
(310) 275-8264
Mailing address
1800 FAIRBURN AVE, SUITE103, LOS ANGELES, CA 90025-5958
(310) 275-8264
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000108646
MEDICARE ELECTRONIC SUBMITTER #
CA
Enumeration date
10/04/2008
Last updated
06/10/2014
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