| NPI | 1528270675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HASSAN President 626-458-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 5298) |
| 103T00000X Psychologist (Licence: CA PSY 5896) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |