Organization
UCLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA CLAIRE GULSRUD PH.D. (PSYCHOLOGIST)
(310) 825-0575
Entity
Organization
Contact information
Practice address
760 WESTWOOD PLZ, RM 68-237C, LOS ANGELES, CA 90024-5055
(310) 825-0575
Mailing address
760 WESTWOOD PLZ, RM 68-237C, LOS ANGELES, CA 90024-5055
(310) 825-0575
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
PSY 24771
CA
Other
Enumeration date
04/24/2012
Last updated
09/19/2012
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