Individual
DR. CARLOS A. VIDALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
500 E OLIVE AVE STE 540, BURBANK, CA 91501-2132
(818) 446-2522
Mailing address
1425 S LELAND AVE, WEST COVINA, CA 91790-2434
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36673
CA
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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