KENNETH SUBOTNIK PH.D. INC NPI 1598924953

NPI Information

KENNETH SUBOTNIK, PH.D., INC is an adult mental health clinic center in Los Angeles, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. KENNETH SUBOTNIK, PH.D., INC NPI is 1598924953. The provider is registered as an organization entity type.

The provider's business location address is:

10850 WILSHIRE BLVD STE 240
LOS ANGELES, CA
ZIP 90024-308
Phone: (310) 824-4600

The provider's authorized official is Kenneth Lee Subotnik .
The authorized official title is Director and has the following contact phone number (310) 824-4600.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 6/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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