MEDICARE: KRISTIE HALSEY

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	1041C0700X	Clinical Social Worker	21919	CA

General Provider Information

NPI Number	:	1326163627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIE HALSEY

Provider Business Mailing Address
First Line	:	8152 KIRKWOOD DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-2002
Country	:	US
Telephone Number	:	323-459-5685
Fax Number	:

Provider Business Practice Location Address
First Line	:	4618 FOUNTAIN AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1830
Country	:	US
Telephone Number	:	323-644-6180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1336164151 — CHA HOLLYWOOD MEDICAL CENTER LP
Practice Location Address:

4636 FOUNTAIN AVE
LOS ANGELES, CA
90029-1830

Practice Phone: 323-913-4830
Practice Fax: 323-913-4552

1881781375 — DR. AMANDA PATRICIA WEILER MD
Practice Location Address:

4618 FOUNTAIN AVE
LOS ANGELES, CA
90029-1830

Practice Phone: 323-953-7170
Practice Fax:

1639241888 — GRACELIGHT COMMUNITY HEALTH
Practice Location Address:

4618 FOUNTAIN AVE
LOS ANGELES, CA
90029-1830

Practice Phone: 323-953-7170
Practice Fax: 323-663-2379

1447374889 — CHRISTOPHER JAMES DRENNEN MS,IMFT
Practice Location Address:

4618 FOUNTAIN AVE , #102
LOS ANGELES, CA
90029-1830

Practice Phone: 323-644-6180
Practice Fax: 323-663-2448

1134244460 — MRS. GUADALUPE PEREZ
Practice Location Address:

4618 FOUNTAIN AVE , SUITE 102
LOS ANGELES, CA
90029-1830

Practice Phone: 323-644-6180
Practice Fax: 323-663-2448

1083739551 — CHRISTINE VU
Practice Location Address:

4618 FOUNTAIN AVE
LOS ANGELES, CA
90029-1830

Practice Phone: 323-644-6180
Practice Fax:

Directions to “ KRISTIE HALSEY ” 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 © 2007-2025 (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.