Individual
DR. ALBERT RANDOLPH GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3440 MOTOR AVE, SUITE 210, LOS ANGELES, CA 90034-4793
(310) 559-5233
(310) 763-0372
Mailing address
553 LOTUS ST, LOS ANGELES, CA 90065-2522
(310) 559-5233
(310) 763-0372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5390
CA
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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