Dr Amita Firouzi Fakhimi, PSYD is a
Psychologist based in Tarzana, California. Dr Amita Firouzi Fakhimi is licensed to practice in California (license number 32006) and her current practice location is
18646 Oxnard St, Tarzana, California. She can be reached at her office (for appointments etc.) via phone at
(310) 350-0577.
NPI number for Dr Amita Firouzi Fakhimi is 1295291193 and her current mailing address is 10940 Wilshire Blvd Ste 600, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295291193.
Healthcare Provider's Profile
| Full Name | Dr Amita Firouzi Fakhimi |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 18646 Oxnard St, Tarzana, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295291193
- Provider Enumeration Date: 02/15/2019
- Last Update Date: 06/03/2021
Medical Identifiers
Medical identifiers for Dr Amita Firouzi Fakhimi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295291193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 110565 (California) | Secondary |
| 103T00000X | Psychologist | 32006 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amita Firouzi Fakhimi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Amita Firouzi Fakhimi, PSYD
10940 Wilshire Blvd Ste 600,
Los Angeles, CA 90024-3940
Ph: (424) 268-8626 | Dr Amita Firouzi Fakhimi, PSYD
18646 Oxnard St,
Tarzana, CA 91356
Ph: (310) 350-0577 |
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