CHAD KIYOSHI EBESUTANI

LOS ANGELES, CA
NPI1215186556
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: HI  H00715964)
Enumeration Date2008-09-11
Last Update Date2009-10-02
Business Address
-- CHAD KIYOSHI EBESUTANI
1000 VETERAN AVE
LOS ANGELES, CA 90024-2704
Phone number: 310-825-3301
Mailing Address
-- CHAD KIYOSHI EBESUTANI
PO BOX 951563
LOS ANGELES, CA 90095-1563
Phone number: 310-825-3301
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