| NPI | 1881140929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZANEH EHSAN Psychologist 310-877-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28121) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-05-04 |