| L & D Psychological Associates, A Professional Corporation | |
|
617 S Olive St Ste 200 Los Angeles CA 90014-1646 | |
| (323) 813-1634 | |
| Not Available |
| Full Name | L & D Psychological Associates, A Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 617 S Olive St Ste 200, Los Angeles, California |
| Authorized Official Name and Position | Dylan Ramos (PRESIDENT) |
| Authorized Official Contact | 3238131634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L & D Psychological Associates, A Professional Corporation 617 S Olive St Ste 200 Los Angeles CA 90014-1646 Ph: (323) 813-1634 | L & D Psychological Associates, A Professional Corporation 617 S Olive St Ste 200 Los Angeles CA 90014-1646 Ph: (323) 813-1634 |
| NPI Number | 1396258059 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 11/15/2017 |
| Medicare PECOS PAC ID | 4082974746 |
|---|---|
| Medicare Enrollment ID | O20180129001972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396258059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY29558 (California) | Primary |
| Provider Name | Dylan Paul Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407386717 PECOS PAC ID: 4981964640 Enrollment ID: I20180129002043 |
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