NPI Code Details Logo

NPI 1023981305

NPI 1023981305 : AMUNDSON INC. : LOS ANGELES, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023981305
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AMUNDSON INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/24/2025
-----------------------------------------------------
    Last Update Date     |    09/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2431 EADS ST 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90031-1018
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-332-2310
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7250 FRANKLIN AVE UNIT 910 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90046-3044
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-332-2310
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     ERIC CLEMENT AMUNDSON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    310-497-8035
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.