Most Relevant Information
Provider Data
| NPI Number: | 1003039876 |
| Provider Name: | DENNIS S. KLOS PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY9105 |
Most Important Dates
| Enumeration Date: | 04/10/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1554 S SEPULVEDA BLVD
SUITE 211
LOS ANGELES
CA
900253377
Practice Location Phone/Fax
| Phone: | 3104765277 |
| Fax: |
Provider Mailing Location
1554 S SEPULVEDA BLVD
SUITE 211
LOS ANGELES
CA
900253377
Provider Mailing Phone/Fax
| Phone: | 3104765277 |
| Fax: |