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Organization
LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION
Active
Organization
LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISRAEL RUBENSTEIN PH.D. (CEO)
(310) 734-5579
Entity
Organization
Contact information
Practice address
4929 WILSHIRE BLVD, STE 510, LOS ANGELES, CA 90010-3808
(310) 734-5579
(310) 734-5511
Mailing address
4929 WILSHIRE BLVD, STE 510, LOS ANGELES, CA 90010-3808
(310) 734-5579
(310) 734-5511
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
11/30/2012
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