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General NPI Number Information
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NPI Number | 1679434666
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Entity Type | Organization
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Legal Business Name | KESHER PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1150 S ROBERTSON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-1404
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Country | US
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Telephone | 310-745-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 4115 LAFAYETTE PL
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City | CULVER CITY
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State | CA
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Zip | 90232-2817
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Country | US
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Telephone | 310-745-4730
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | ADI SOFFER
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Credential |
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Telephone | 310-745-4730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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