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Keith Edwards, PH.D.
NPI 1164636056 · Clinical Psychologist · La Mirada, CA
Keith Edwards, PH.D. is a Clinical Psychologist provider in La Mirada, CA (NPI 1164636056).
Provider details
- NPI number
- 1164636056
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY10082 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12625 La Mirada Blvd
Suite 202
La Mirada, CA 90638-2211
Phone: (562) 903-4800
Fax: (562) 903-4802
Street-level locationGet directions
Mailing address
3005 Gotera Dr
Hacienda Heights, CA 91745-6613
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Keith Edwards's NPI number?
- Keith Edwards's National Provider Identifier (NPI) is 1164636056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Edwards's specialty?
- Keith Edwards is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Keith Edwards located?
- Keith Edwards's practice location on file with NPPES is 12625 La Mirada Blvd, La Mirada, CA 90638-2211.
- What is Keith Edwards's phone number?
- The practice phone number listed in the NPPES registry for Keith Edwards is (562) 903-4800.
- Is Keith Edwards's NPI active?
- Yes — Keith Edwards's NPI (1164636056) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.