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Organization

EMENTALHEALTHCENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANKLIN CARVAJAL PH.D. (CEO)
(310) 621-4755
Entity
Organization

Contact information

Practice address
11500 W OLYMPIC BLVD STE 400, LOS ANGELES, CA 90064-1525
(310) 621-4755
(323) 488-9569
Mailing address
3567 WESLEY ST, CULVER CITY, CA 90232-2432
(310) 621-4755

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
PSY21148
CA
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
103TF0200X
Forensic Psychologist
103TH0004X
Health Psychologist
103TH0100X
Health Service Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TP2701X
Group Psychotherapy Psychologist
103TS0200X
School Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063608230
PSYCHOLOGIST NPI
CA
05
9672443
CA
Enumeration date
08/04/2016
Last updated
05/04/2023
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