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DAVID M BROOKS PHD PSYCHOLOGICAL SERVICES PC

Psychoanalysis

Los Angeles, California

Provider NPI: 1558500223

Organization Information:
Organization Name:  DAVID M BROOKS PHD PSYCHOLOGICAL SERVICES PC
Organization is not Subpart
Authorized Official:  DAVID MICHAEL BROOKS  OWNER AND PRESIDENT  310-4980555

Practice Location:
6404 WILSHIRE BLVD STE 1030 LOS ANGELES, CA 90048 US
Tel: 310-498-0555  Fax: 323-647-3159

Business Mailing Address:
6404 WILSHIRE BLVD STE 1030 LOS ANGELES, CA 90048 US
Tel: 310-498-0555  Fax: 323-647-3159

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TP0814XBehavioral Health & Social Service Providers
Psychologist
Psychoanalysis
CAPSY 20877
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
CAPSY 20877

Other Provider Identifiers:

IssuerNumberStateType
UNITED BEHAVIORAL HEALTH1174503403CA01
CIGNA HEALTHCARE/CBH1174503403CA01
BLUE SHIELD OF CALIFORNIAZZZ56245YCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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