Provider Demographics
NPI:1346545803
Name:THE CONTROL CENTER
Entity Type:Organization
Organization Name:THE CONTROL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REEF
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:310-625-7333
Mailing Address - Street 1:9777 WILSHIRE BLVD
Mailing Address - Street 2:SUITE #704
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1910
Mailing Address - Country:US
Mailing Address - Phone:310-271-8700
Mailing Address - Fax:
Practice Address - Street 1:9777 WILSHIRE BLVD
Practice Address - Street 2:SUITE #704
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1910
Practice Address - Country:US
Practice Address - Phone:310-271-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA20A7151103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty