Individual
JOSEPH KESTENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3730 E SOUTH STREET, LAKEWOOD, CA 90712-1419
(714) 899-4005
(714) 899-4275
Mailing address
PO BOX 4166, HUNTINGTON BEACH, CA 92605-4166
(714) 899-4005
(714) 899-4275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14022
CA
Other
Enumeration date
11/02/2005
Last updated
08/01/2013
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