| The Conscious Lyfe Psychological Services Inc. | |
|
433 N Camden Dr Fl 4 Beverly Hills CA 90210-4408 | |
| (424) 285-3547 | |
| Not Available |
| Full Name | The Conscious Lyfe Psychological Services Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 433 N Camden Dr Fl 4, Beverly Hills, California |
| Authorized Official Name and Position | Indhushree Rajan (CEO/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4242853547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Conscious Lyfe Psychological Services Inc. 5132 Maplewood Ave Apt 103 Los Angeles CA 90004-1583 Ph: (714) 402-8101 | The Conscious Lyfe Psychological Services Inc. 433 N Camden Dr Fl 4 Beverly Hills CA 90210-4408 Ph: (424) 285-3547 |
| NPI Number | 1083202352 |
|---|---|
| Provider Enumeration Date | 01/04/2021 |
| Last Update Date | 01/04/2021 |
| Certification Date | 12/30/2020 |
| Medicare PECOS PAC ID | 1658784723 |
|---|---|
| Medicare Enrollment ID | O20210108002093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083202352 | NPI | - | NPPES |
| Provider Name | Indhushree S Rajan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205084027 PECOS PAC ID: 0840628715 Enrollment ID: I20200309001046 |
| Provider Name | John A Valenzuela |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114166402 PECOS PAC ID: 0648679027 Enrollment ID: I20210604002696 |
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