DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KENNEDY TIARA LONG

MEDICARE: KENNEDY TIARA LONG
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
1106H00000XMarriage & Family Therapist159164CA

General Provider Information

NPI Number : 1902763428
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNEDY TIARA LONG
Provider Business Mailing Address
First Line : 2121 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4915
Country : US
Telephone Number : 213-385-5100
Fax Number :
Provider Business Practice Location Address
First Line : 2121 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4915
Country : US
Telephone Number : 213-385-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

Similar Medicare Providers

1366301566 — NAOMI SAMANO
Practice Location Address:
2121 W TEMPLE ST
LOS ANGELES, CA
90026-4915
Practice Phone: 213-385-5100
Practice Fax:
1689242067 — VANESSA SUSANA CABRAL
Practice Location Address:
2121 W TEMPLE ST
LOS ANGELES, CA
90026-4915
Practice Phone: 213-385-5100
Practice Fax:
1184581696 — MIRANDA FERNANDEZ
Practice Location Address:
2121 W TEMPLE ST
LOS ANGELES, CA
90026-4915
Practice Phone: 213-385-5100
Practice Fax:
1447323985 — JANELLE DENT LMFT
Practice Location Address:
2121 W TEMPLE ST
LOS ANGELES, CA
90026-4915
Practice Phone: 213-385-5100
Practice Fax: 310-329-3611
1962556985 — MS. MARY LEE BROUGHER RTC, CTRS
Practice Location Address:
2121 W TEMPLE ST
LOS ANGELES, CA
90026-4915
Practice Phone: 213-385-5100
Practice Fax:
1073668422 — JENNIFER T WONG MSW
Practice Location Address:
2121 W TEMPLE ST
LOS ANGELES, CA
90026-4915
Practice Phone: 213-385-5100
Practice Fax:

Directions to “ KENNEDY TIARA LONG ” 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.