| A.m.p. Autism Inc | |
|
16944 Ventura Blvd Ste 27 Encino CA 91316-4146 | |
| (818) 517-3328 | |
| Not Available |
| Full Name | A.m.p. Autism Inc |
|---|---|
| Speciality | Psychologist |
| Location | 16944 Ventura Blvd Ste 27, Encino, California |
| Authorized Official Name and Position | Tamar Lisa Apelian (OWNER) |
| Authorized Official Contact | 8185173328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A.m.p. Autism Inc 16944 Ventura Blvd Ste 27 Encino CA 91316-4146 Ph: (818) 517-3328 | A.m.p. Autism Inc 16944 Ventura Blvd Ste 27 Encino CA 91316-4146 Ph: (818) 517-3328 |
| NPI Number | 1780140574 |
|---|---|
| Provider Enumeration Date | 02/16/2019 |
| Last Update Date | 02/16/2019 |
| Medicare PECOS PAC ID | 5890023162 |
|---|---|
| Medicare Enrollment ID | O20190823002271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780140574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tamar L Apelian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841581584 PECOS PAC ID: 4981918851 Enrollment ID: I20150805008943 |
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