Karyadi, Kenny A
Karyadi, Kenny A is an individual health care provider with primary practice located at 11835 W Olympic Blvd Ste 1265E , Los Angeles CA 90064-5814. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Karyadi, Kenny A can be contacted via phone (310) 273-4843.Contact Information
Primary practice address
11835 W Olympic Blvd Ste 1265E
Los Angeles CA 90064-5814
Phone: (310) 273-4843
Fax: (310) 273-5056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY29812 | California |
Profile Details
| NPI number | 1699279679 |
|---|---|
| LBN Legal business name | Karyadi, Kenny A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2018 |
| Last updated | Dec 3rd, 2021 - about 3 years ago |
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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