Healthcare Provider Details

I. General information

NPI: 1417851221
Provider Name (Legal Business Name): LAURA DARKE PH.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1334 WESTWOOD BLVD STE 8
LOS ANGELES CA
90024-4986
US

IV. Provider business mailing address

1334 WESTWOOD BLVD STE 8
LOS ANGELES CA
90024-4986
US

V. Phone/Fax

Practice location:
  • Phone: 310-208-1077
  • Fax: 310-570-1012
Mailing address:
  • Phone: 310-208-1077
  • Fax: 310-570-1012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. LAURA DARKE
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH. D.
Phone: 310-208-1077