Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SELFA LMFT (DEPARTMENT ADMINISTRATOR)
(323) 298-3175
Entity
Organization
Contact information
Practice address
5105 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1269
(323) 298-3175
Mailing address
4440 DENSMORE AVE, ENCINO, CA 91436-3461
(818) 788-9489
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
MFC29709
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MFC29709
CA
Other
Enumeration date
06/05/2007
Last updated
09/11/2025
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