Organization
AUTHENTIC PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DOLORES (ADMINISTRATOR)
(916) 385-4849
Entity
Organization
Contact information
Practice address
10850 WILSHIRE BLVD STE 1150, LOS ANGELES, CA 90024-4330
(424) 268-0471
Mailing address
9440 SANTA MONICA BLVD STE 301, BEVERLY HILLS, CA 90210-4614
(424) 268-0471
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
09/03/2025
Last updated
11/09/2025
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