MEDICARE: DR. CARA KIFF PHD

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	103TC2200X	Clinical Child & Adolescent Psychologist	PSY27786	CA

General Provider Information

NPI Number	:	1972075901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARA KIFF PHD

Provider Business Mailing Address
First Line	:	23632 CALABASAS RD STE 201
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1737
Country	:	US
Telephone Number	:	818-253-1164
Fax Number	:

Provider Business Practice Location Address
First Line	:	23632 CALABASAS RD STE 201
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1737
Country	:	US
Telephone Number	:	818-253-1164
Fax Number	:

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

Provider Enumeration Date	:	01/02/2019
Last Update Date	:	04/27/2024

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