Individual
KIERRA FATUROTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3881 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(323) 290-4357
(323) 293-3327
Mailing address
3881 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(323) 290-4357
(323) 293-3327
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41018
CA
Other
Enumeration date
01/07/2019
Last updated
02/04/2026
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