Provider Demographics
NPI:1053513432
Name:BRESLER, DAVID E (PHD, LAC, DIPLAC,)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:BRESLER
Suffix:
Gender:M
Credentials:PHD, LAC, DIPLAC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:30765 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 355
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-3646
Mailing Address - Country:US
Mailing Address - Phone:310-474-2777
Mailing Address - Fax:310-474-2777
Practice Address - Street 1:1800 THAYER AVE
Practice Address - Street 2:UNIT A
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6180
Practice Address - Country:US
Practice Address - Phone:310-474-2777
Practice Address - Fax:310-474-2777
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY4685103TH0004X
CAAC126171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No171100000XOther Service ProvidersAcupuncturist