Healthcare Provider Details

I. General information

NPI: 1124146873
Provider Name (Legal Business Name): KAREN MORAN FINELLO PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDRENS HOSPITAL LOS ANGELES 4650 SUNSET BLVD, MS #53
LOS ANGELES CA
90027-0980
US

IV. Provider business mailing address

3605 GREENHILL RD
PASADENA CA
91107-2107
US

V. Phone/Fax

Practice location:
  • Phone: 323-669-2300
  • Fax:
Mailing address:
  • Phone: 213-383-5967
  • Fax: 213-383-5963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: