MEDICARE: ELIZABETH LEE ROSENBLATT, PSYD, A PSYCHOLOGICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY21110	CA

General Provider Information

NPI Number	:	1053618314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH LEE ROSENBLATT, PSYD, A PSYCHOLOGICAL CORPORATION

Provider Business Mailing Address
First Line	:	12405 VENICE BLVD
Second Line	:	124
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-3803
Country	:	US
Telephone Number	:	310-502-1162
Fax Number	:	866-485-1162

Provider Business Practice Location Address
First Line	:	12405 VENICE BLVD
Second Line	:	124
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-3803
Country	:	US
Telephone Number	:	310-502-1162
Fax Number	:	866-485-1162

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH LEE ROSENBLATT
Credential	:	PSYD
Telephone Number	:	310-502-1162

Provider Enumeration Date	:	02/23/2011
Last Update Date	:	02/23/2011

Similar Medicare Providers

1912858341 — LAUREN KATZ REED LMFT
Practice Location Address:

12405 VENICE BLVD # 163
LOS ANGELES, CA
90066-3803

Practice Phone: 424-244-1252
Practice Fax:

1720231475 — DR. KEVIN PATRICK HAYES MD
Practice Location Address:

12405 VENICE BLVD , # 4
LOS ANGELES, CA
90066-3803

Practice Phone: 310-915-0217
Practice Fax:

1932234515 — DR. HAN WOOK LEE DDS
Practice Location Address:

1515 W OLYMPIC BLVD
LOS ANGELES, CA
90015-3803

Practice Phone: 213-384-4100
Practice Fax: 213-384-4214

1942087861 — ALEXANDRA TANNER PHD
Practice Location Address:

760 WESTWOOD PLZ STE C8-749
LOS ANGELES, CA
90095-3803

Practice Phone: 323-205-6843
Practice Fax:

1134932205 — JESSICA V. SNYDER SLPA
Practice Location Address:

2923 S ORANGE DR
LOS ANGELES, CA
90016-3803

Practice Phone: 714-718-6231
Practice Fax:

1730701160 — SARA SALMAN
Practice Location Address:

15885 LOS GATOS ALMADEN RD
LOS GATOS, CA
95032-3803

Practice Phone: 408-334-3420
Practice Fax:

Directions to “ELIZABETH LEE ROSENBLATT, PSYD, A PSYCHOLOGICAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.