| Kaneeza Lafir Psychological Services Inc | |
|
12006 Rosecrans Ave Norwalk CA 90650-4119 | |
| (562) 773-3044 | |
| (562) 929-0516 |
| Full Name | Kaneeza Lafir Psychological Services Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12006 Rosecrans Ave, Norwalk, California |
| Authorized Official Name and Position | Shamina Mustafa (MANAGER) |
| Authorized Official Contact | 9515221042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaneeza Lafir Psychological Services Inc 12006 Rosecrans Ave Norwalk CA 90650-4119 Ph: (562) 773-3044 | Kaneeza Lafir Psychological Services Inc 12006 Rosecrans Ave Norwalk CA 90650-4119 Ph: (562) 773-3044 |
| NPI Number | 1144577479 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144577479 | NPI | - | NPPES |
| CP192380 | Other | LICENSE NUMBER | |
| CP19238 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY19238 (California) | Primary |
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