| NPI | 1033620711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRZAD JALALI BIDGOLI Clinical Psychologist/President 310-849-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27593) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |