| A Gheytanchi Phd, A Psychological Corporation | |
|
3301 Ocean Park Blvd Ste 110 Santa Monica CA 90405-3223 | |
| (310) 709-3073 | |
| Not Available |
| Full Name | A Gheytanchi Phd, A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 3301 Ocean Park Blvd Ste 110, Santa Monica, California |
| Authorized Official Name and Position | Anahita Gheytanchi (OWNER) |
| Authorized Official Contact | 3107093073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Gheytanchi Phd, A Psychological Corporation 10384 Holman Ave Los Angeles CA 90024-5351 Ph: (323) 270-1083 | A Gheytanchi Phd, A Psychological Corporation 3301 Ocean Park Blvd Ste 110 Santa Monica CA 90405-3223 Ph: (310) 709-3073 |
| NPI Number | 1265138630 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265138630 | NPI | - | NPPES |
| 1538477800 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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