| The Psych Clinic | |
|
12304 Santa Monica Blvd 334 Los Angeles CA 90025-2551 | |
| (310) 367-2532 | |
| (310) 820-8031 |
| Full Name | The Psych Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12304 Santa Monica Blvd, Los Angeles, California |
| Authorized Official Name and Position | Amir Pooyan Faghfoory (PSYCHIATRIST) |
| Authorized Official Contact | 3103672532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Psych Clinic 12304 Santa Monica Blvd 334 Los Angeles CA 90025-2551 Ph: (310) 367-2532 | The Psych Clinic 12304 Santa Monica Blvd 334 Los Angeles CA 90025-2551 Ph: (310) 367-2532 |
| NPI Number | 1205370749 |
|---|---|
| Provider Enumeration Date | 12/16/2016 |
| Last Update Date | 12/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205370749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A112232 (California) | Primary |
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