Provider Demographics
NPI:1437433018
Name:DRIMMER, JOHN A (PSY-D)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:DRIMMER
Suffix:
Gender:M
Credentials:PSY-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 S BARRINGTON PL
Mailing Address - Street 2:STE. B
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-3305
Mailing Address - Country:US
Mailing Address - Phone:310-491-1472
Mailing Address - Fax:714-739-4008
Practice Address - Street 1:179 S BARRINGTON PL
Practice Address - Street 2:STE. B
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-3305
Practice Address - Country:US
Practice Address - Phone:310-491-1472
Practice Address - Fax:714-739-4008
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22886103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist