| Doctor Name: | DR. JANOS MORITZ KALLA |
| NPI Number: | 1023227881 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD. |
| License Number: | PSY6352 |
| Business Practice Address: | 3201 Wilshire Blvd Ste 310 Santa Monica, CA - 904032335 |
| Business Phone Number: | 3109985581 |
| Business Fax Number: | 3109985582 |
| Mailing Address: | 3201 Wilshire Blvd. Suite 310, SANTA MONICA |
| State: | CA |
| Postal Code: | 904032335 |
| Phone Number: | 3109985581 |
| Fax Number: | 3109985582 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY6352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |