Provider Demographics
NPI:1447139753
Name:GILES, ROBERT BRADLEY (AMFT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:BRADLEY
Last Name:GILES
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2036 MEADOW VALLEY TER
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-3533
Mailing Address - Country:US
Mailing Address - Phone:323-356-2021
Mailing Address - Fax:
Practice Address - Street 1:2036 MEADOW VALLEY TER
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-3533
Practice Address - Country:US
Practice Address - Phone:323-356-2021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty