Individual
DR. SAMANTHA KUCAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 UCLA MEDICAL PLZ STE 3300, LOS ANGELES, CA 90095-6062
(323) 825-0867
(310) 206-4215
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8807
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY30599
CA
Other
Enumeration date
09/09/2016
Last updated
03/25/2021
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