Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1104075811 |
---|---|
Provider Name | Dr. Gari Alden Senderoff II |
First Address | Los Angeles, CA 90015-3048 |
Second Address | Northridge, CA 91325-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2008 |
Last Update Date | 23/05/2013 |