Individual
DR. CHARLES JOSH SCRANTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064-5814
(310) 273-4843
(310) 273-5056
Mailing address
108 DANBURY LN, COSTA MESA, CA 92626-6519
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31186
CA
Other
Enumeration date
08/22/2014
Last updated
08/29/2019
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