Provider Demographics
NPI:1861031726
Name:TALAM, CHRISTIAN JOSHUA (MENTAL HEALTH WORKER)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:JOSHUA
Last Name:TALAM
Suffix:
Gender:M
Credentials:MENTAL HEALTH WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11347 ALONDRA BLVD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-6225
Mailing Address - Country:US
Mailing Address - Phone:818-599-1357
Mailing Address - Fax:
Practice Address - Street 1:1865 9TH STRRET
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1324
Practice Address - Country:US
Practice Address - Phone:310-314-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-24
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor