Individual
DR. JON UBICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
12011 SAN VICENTE BLVD, SUITE 408, LOS ANGELES, CA 90049-4926
(310) 230-3580
(310) 774-3670
Mailing address
12011 SAN VICENTE BLVD, SUITE 408, LOS ANGELES, CA 90049-4926
(310) 230-3580
(310) 774-3670
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20344
CA
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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