Organization Active NPI

Life Lab la

  • Behavior Analyst
  • Culver City, CA
National Provider Identifier
1982540084
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIFE LAB LA
Practice address
3917 Huron Ave Unit 2
Culver City, CA 90232-3820
Phone
(818) 632-7513
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Max Eric Blum, M.S, BCBANPI 1992325211
Title
President
Phone
(818) 632-7513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3917 Huron Ave Unit 2
Culver City, CA 90232-3820

Mailing address

3917 Huron Ave Unit 2
Culver City, CA 90232-3820
Phone (818) 632-7513

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1982540084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 HURON AVE UNIT 2",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323820",
            "telephone_number": "818-632-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 HURON AVE UNIT 2",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323820",
            "telephone_number": "818-632-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LAB LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-632-7513",
        "authorized_official_credential": "M.S, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.