| Fariba Sharifi Psychological Corp. | |
|
6399 Wilshire Blvd Ste 1016 Los Angeles CA 90048-5713 | |
| (818) 620-6646 | |
| Not Available |
| Full Name | Fariba Sharifi Psychological Corp. |
|---|---|
| Speciality | Psychologist |
| Location | 6399 Wilshire Blvd Ste 1016, Los Angeles, California |
| Authorized Official Name and Position | Fariba Sharifi (PSYCHOLOGIST) |
| Authorized Official Contact | 8186206646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fariba Sharifi Psychological Corp. 6399 Wilshire Blvd Ste 1016 Los Angeles CA 90048-5713 Ph: (818) 620-6646 | Fariba Sharifi Psychological Corp. 6399 Wilshire Blvd Ste 1016 Los Angeles CA 90048-5713 Ph: (818) 620-6646 |
| NPI Number | 1598192098 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 09/30/2013 |
| Medicare PECOS PAC ID | 6103041496 |
|---|---|
| Medicare Enrollment ID | O20140630000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598192098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY25212 (California) | Primary |
| Provider Name | Fariba Sharifi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861742637 PECOS PAC ID: 6507016078 Enrollment ID: I20121017000853 |
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