Healthcare Provider Details

I. General information

NPI: 1659215341
Provider Name (Legal Business Name): KAREN ANNE PATTI AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5880 SAN VICENTE BLVD STE 103
LOS ANGELES CA
90019-6667
US

IV. Provider business mailing address

10736 JEFFERSON BLVD # 412
CULVER CITY CA
90230-4933
US

V. Phone/Fax

Practice location:
  • Phone: 310-295-9571
  • Fax:
Mailing address:
  • Phone: 310-295-9571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT158810
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: