Healthcare Provider Details

I. General information

NPI: 1730203837
Provider Name (Legal Business Name): CHERYL BALDINGER B.A., M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 05/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 S ROBERTSON BLVD
LOS ANGELES CA
90035-3414
US

IV. Provider business mailing address

2828 S BEDFORD ST
LOS ANGELES CA
90034-2523
US

V. Phone/Fax

Practice location:
  • Phone: 310-785-2121
  • Fax:
Mailing address:
  • Phone: 310-592-8474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: