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Individual

DR. CARL L KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2001 S BARRINGTON AVE STE 204, LOS ANGELES, CA 90025-5385
(818) 501-5375
Mailing address
8574 COLE CREST DR, LOS ANGELES, CA 90046-1914
(818) 501-5375

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY6269
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY6269
CALIF
CA
Enumeration date
04/18/2007
Last updated
09/01/2021
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