1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KELLY SLATER
NPI 1003773078
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since January 09, 2026
5675 W OLYMPIC BLVD, LOS ANGELES, CA 90036(323) 965-1365(323) 965-0444 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Slater NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SLATER (NPI 1003773078) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1003773078
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY SLATER
Location Address5675 W OLYMPIC BLVDLos Angeles, CA 90036-4712
Mailing Address5675 W Olympic BlvdLos Angeles, CA 90036-4712 · (323) 965-1365 · Fax (323) 965-0444
Phone(323) 965-1365
Fax(323) 965-0444
Sole ProprietorNo
Enumeration DateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1003773078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5675 W OLYMPIC BLVD, Los Angeles, CA 90036
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDVA RACHEL SIMS
Marriage & Family Therapist
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
KIMBERLY ST ROMAIN
Marriage & Family Therapist
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
NATHAN TODD LEVIN
Counselor (Addiction (Substance Use Disorder))
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
SARA LYNN BERMAN
Marriage & Family Therapist
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
JOSEPH CASACELI JR.
Counselor (Addiction (Substance Use Disorder))
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (310) 867-4798
SHOLOM SCHUSTERMAN
Counselor (Addiction (Substance Use Disorder))
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
LIMOR KOPEL MA
Student in an Organized Health Care Education/Training Program
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
MR. STEVEN ANDREW LUFF LMFT
Marriage & Family Therapist
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Slater's NPI number?

The NPI number for Kelly Slater is 1003773078. It was assigned to this individual provider in the NPPES registry on January 9, 2026.

Where is Kelly Slater located?

Kelly Slater practices at 5675 W Olympic Blvd, Los Angeles, CA 90036. The listed phone number is (323) 965-1365.

What is Kelly Slater's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Slater was last updated on January 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.