| Dr Azadeh Golshani Psychologist Pc | |
|
3415 S Sepulveda Blvd Ste 1100 Los Angeles CA 90034-7090 | |
| (310) 927-9853 | |
| Not Available |
| Full Name | Dr Azadeh Golshani Psychologist Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3415 S Sepulveda Blvd Ste 1100, Los Angeles, California |
| Authorized Official Name and Position | Azadeh Golshani (PSYCHOLOGIST) |
| Authorized Official Contact | 3109279853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Azadeh Golshani Psychologist Pc 11045 Missouri Ave Apt 203 Los Angeles CA 90025-5625 Ph: (310) 927-9853 | Dr Azadeh Golshani Psychologist Pc 3415 S Sepulveda Blvd Ste 1100 Los Angeles CA 90034-7090 Ph: (310) 927-9853 |
| NPI Number | 1134658065 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 06/05/2017 |
| Medicare PECOS PAC ID | 2860761053 |
|---|---|
| Medicare Enrollment ID | O20170630002413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134658065 | NPI | - | NPPES |
| Provider Name | Azadeh Golshani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093064420 PECOS PAC ID: 8325329808 Enrollment ID: I20161221001655 |
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