| NPI | 1083098685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HAGOP PELOIAN Psychologist 424-209-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 27345) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY 27345) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 27345) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 27345) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |