NPI | 1417342965 |
---|---|
Former Legal Business Name | DR. LANA DELSHADI |
Entity Type | Organization |
Authorized Contact | LANA DELSHADI Owner 714-229-0094 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy16895) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA Psy16895) |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA Psy16895) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA Psy16895) | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2020-10-08 |