NPI 1336345958
Cal Psych Fmt
Practice location
- Address
- 16530 Ventura Blvd Suite 200, Encino, CA 91436-4554
- Phone
- (818) 385-0050
- Fax
- (818) 385-1166
Authorised official
- Name
- Michael C.C. Lilienfeld
- Title
- Executive Director
- Phone
- (818) 385-0050
Registered specialties (4)
Independent Medical Examiner Physician
Primary
Clinical Neuropsychologist
Forensic Psychologist
Forensic Psychiatry Physician
Registry record
- NPI
- 1336345958
- Entity type
- Organization
- NPI issued
- 21 Jun 2007
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.