Provider Demographics
NPI:1689100521
Name:DBT CALIFORNIA
Entity Type:Organization
Organization Name:DBT CALIFORNIA
Other - Org Name:CBT CALIFORNIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:800-624-1475
Mailing Address - Street 1:6404 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 870
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5501
Mailing Address - Country:US
Mailing Address - Phone:800-624-1475
Mailing Address - Fax:800-624-1475
Practice Address - Street 1:6404 WILSHIRE BLVD
Practice Address - Street 2:SUITE 870
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5501
Practice Address - Country:US
Practice Address - Phone:800-624-1475
Practice Address - Fax:800-624-1475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16799103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty