Individual
BLAIR PALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
300 MEDICAL PLZ, LOS ANGELES, CA 90095-0001
(310) 301-8750
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 825-9989
(310) 825-2982
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY157070
MEDI CAL
CA
Enumeration date
07/27/2006
Last updated
05/01/2012
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