Individual
JOHN GREGORY SERPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11301 WILSHIRE BLVD, WEST LOS ANGELES VA 116B, LOS ANGELES, CA 90073
(310) 478-3711
(310) 268-4241
Mailing address
11301 WILSHIRE BLVD, WEST LOS ANGELES VA 116B, LOS ANGELES, CA 90073
(310) 478-3711
(310) 268-4241
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY20340
CA
103T00000X
Psychologist
PSY20340
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY20340
CA
Other
Enumeration date
09/06/2006
Last updated
09/11/2025
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