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Contact Information

LIFESPAN HEALTH NETWORK
1171 S ROBERTSON BLVD
SUITE 415
LOS ANGELES, CA90035-1403
 Phone: 310-739-1167
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFESPAN HEALTH NETWORK · (Female)

NPI # 1588073449
Status Active
Credentials
Entity Individual
Enumeration date 08/05/2014
Last updated 08/05/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other 507011 MHN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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