| California Psychology Group Inc | |
|
1435 S Vermont Ave Ste 100 Los Angeles CA 90006-4543 | |
| (424) 256-8480 | |
| Not Available |
| Full Name | California Psychology Group Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1435 S Vermont Ave Ste 100, Los Angeles, California |
| Authorized Official Name and Position | Tannaz Hedieh Azinkhan (CEO/PRESIDENT/OWNER) |
| Authorized Official Contact | 4242568480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Psychology Group Inc 4858 W Pico Blvd Ste 718 Los Angeles CA 90019-4225 Ph: (424) 256-8480 | California Psychology Group Inc 1435 S Vermont Ave Ste 100 Los Angeles CA 90006-4543 Ph: (424) 256-8480 |
| NPI Number | 1073386827 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 05/17/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073386827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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