Kahn, Lisa

Kahn, Lisa is an sole proprietor health care provider with primary practice located at 3834 Hughes Ave #506, Culver City CA 90232-2716. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kahn, Lisa can be contacted via phone (310) 280-9670.

Contact Information

Primary practice address
3834 Hughes Ave #506 Culver City CA 90232-2716
Fax: (310) 280-9675
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY11207 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY11207 California

Profile Details

NPI number 1528008430
LBN Legal business name Kahn, Lisa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Aug 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528008430 NPPES
California MEDICAID PSY112070

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