Individual
DR. KEIKO KAY IKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
420 E 3RD ST STE 601, LOS ANGELES, CA 90013-1645
(213) 680-2696
(213) 680-2696
Mailing address
420 E 3RD ST STE 601, LOS ANGELES, CA 90013-1645
(213) 680-2696
(213) 680-2696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY9096
CA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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