Individual
DR. JON TABAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3326 MCLAUGHLIN AVE, LOS ANGELES, CA 90066-2005
(310) 390-7966
Mailing address
3326 MCLAUGHLIN AVE, LOS ANGELES, CA 90066-2005
(310) 390-7966
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
PSY 13817
CA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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