Individual
PETER MCCARTHY A
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1925 DALY ST, LOS ANGELES, CA 90031-3309
(323) 226-4447
Mailing address
825 N EVERGREEN ST, BURBANK, CA 91505-2712
(818) 238-0161
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
20836
CA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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