Individual
DR. GARY ALAN CITRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1826 S ELENA AVE STE D, REDONDO BEACH, CA 90277-5718
(310) 259-5064
(714) 529-8570
Mailing address
2559 RIMCREST RD, BREA, CA 92821-4557
(310) 259-5064
(714) 529-8570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY125880
—
CA
Enumeration date
07/04/2006
Last updated
07/08/2007
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