Search › California › 1041C0700X

Matthew Kijak, LCSW

NPI 1518606953 · on the registry since 2022

Practice

Address
1701 N Avenue 56
Los Angeles, CA 90042
Phone
(909) 451-9901

Additional practice sites

  • 1425 W Foothill Blvd Ste 310, Upland, CA
  • 405 N Indian Hill Blvd, Claremont, CA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-26

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