Search › California › 101YA0400X
Justin Lawrence
NPI 1306737333 · on the registry since 2025 · sole proprietor
Practice
- Address
- 503 Ocean Front Walk
Venice, CA 90291 - Phone
- (310) 392-3070
- Organisation at this address
- Phoenix Houses Of Los Angeles, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 77
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California