Provider Demographics
NPI:1174655641
Name:KUNDINGER, PAUL (MFT, CEAP)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:KUNDINGER
Suffix:
Gender:M
Credentials:MFT, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8235 SANTA MONICA BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-5970
Mailing Address - Country:US
Mailing Address - Phone:323-692-5792
Mailing Address - Fax:310-854-4933
Practice Address - Street 1:8235 SANTA MONICA BLVD STE 400
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-5970
Practice Address - Country:US
Practice Address - Phone:323-692-5792
Practice Address - Fax:310-854-4933
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42765106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist