Provider Demographics
NPI:1477815272
Name:KALIVAS, JAMES PAUL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:KALIVAS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23838 PACIFIC COAST HWY
Mailing Address - Street 2:#2291
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-1497
Mailing Address - Country:US
Mailing Address - Phone:424-645-7175
Mailing Address - Fax:
Practice Address - Street 1:23838 PACIFIC COAST HWY
Practice Address - Street 2:UNIT 2291
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-1497
Practice Address - Country:US
Practice Address - Phone:818-448-0549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28521103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical