Provider Demographics
NPI:1255020764
Name:DUFFY & KANG PSYCHOLOGY INC.
Entity type:Organization
Organization Name:DUFFY & KANG PSYCHOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, ASW
Authorized Official - Phone:213-364-6800
Mailing Address - Street 1:11341 NATIONAL BLVD # 1031
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-3726
Mailing Address - Country:US
Mailing Address - Phone:213-364-6800
Mailing Address - Fax:
Practice Address - Street 1:16226 1/2 S MENLO AVE
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-4930
Practice Address - Country:US
Practice Address - Phone:213-364-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty