Organization
GRAY MATTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID IRA SITZER PH.D. (OWNER)
(213) 293-9408
Entity
Organization
Contact information
Practice address
617 W 7TH ST, 8TH FLOOR, LOS ANGELES, CA 90017-3830
(213) 293-9408
Mailing address
4315 BEETHOVEN ST, LOS ANGELES, CA 90066-6102
(213) 300-5440
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY21769
CA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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