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NPI Code Detail

MEDICARE: DR. GIL SPIELBERG PH.D

MEDICARE:  DR. GIL  SPIELBERG  PH.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY6517CA
2103TA0400XAddiction (Substance Use Disorder) PsychologistPSY6517CA
3103TB0200XCognitive & Behavioral PsychologistPSY6517CA
4103TC0700XClinical PsychologistPSY6517CA
5103TP0814XPsychoanalysis PsychologistPSY6517CA
6103TP2701XGroup Psychotherapy PsychologistPSY6517CA

General Provider Information

NPI Number : 1972627800
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GIL SPIELBERG PH.D
Provider Business Mailing Address
First Line : 800 S BEVERLY GLEN BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-4604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 S BEVERLY GLEN BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-4604
Country : US
Telephone Number : 310-859-9455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2007
Last Update Date : 09/11/2025

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