MEDICARE: DAVID MATTHEW APPLETON PSY D

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	PSY12856	CA

General Provider Information

NPI Number	:	1851578389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MATTHEW APPLETON PSY D

Provider Business Mailing Address
First Line	:	3611 MOTOR AVE
Second Line	:	SUITE 240
City	:	LOS ANGELES
State	:	CA
Zip	:	90034
Country	:	US
Telephone Number	:	310-837-2444
Fax Number	:	310-837-5332

Provider Business Practice Location Address
First Line	:	3611 MOTOR AVE
Second Line	:	SUITE 240
City	:	LOS ANGELES
State	:	CA
Zip	:	90034
Country	:	US
Telephone Number	:	310-837-2444
Fax Number	:	310-837-5332

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

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	01/28/2008

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