Provider Demographics
NPI:1235693045
Name:LAWFIELD, ALFRED BROCK
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:BROCK
Last Name:LAWFIELD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3828 W CARSON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-6702
Mailing Address - Country:US
Mailing Address - Phone:310-787-1335
Mailing Address - Fax:310-787-1809
Practice Address - Street 1:3828 W CARSON ST STE 100
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-6702
Practice Address - Country:US
Practice Address - Phone:310-787-1335
Practice Address - Fax:310-787-1809
Is Sole Proprietor?:No
Enumeration Date:2019-01-25
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA190077AHNMedicaid