Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith John Edwards, PHD

Individual provider Clinical Psychologist · NPI 1164636056

Dr. Keith John Edwards, PHD is a Clinical Psychologist in LA Mirada, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

12625 La Mirada Blvd Ste 202
LA Mirada, CA 90638-2211
Phone: (562) 903-4800
Fax: (562) 903-4802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY10082 (CA)

Record details

NPI number1164636056
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3005 Gotera Dr, Hacienda Heights, CA 91745-6613

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