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Individual

DR. JAMES PECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2730 WILSHIRE BLVD STE 550, SANTA MONICA, CA 90403-4748
(310) 279-2976
(310) 828-7311
Mailing address
2730 WILSHIRE BLVD STE 550, SANTA MONICA, CA 90403-4748
(310) 279-2976
(310) 828-7311

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19076
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY190760
MEDICAL
CA
Enumeration date
08/23/2006
Last updated
06/02/2021
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