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Organization
PEDIATRIC MINDS DEVELOPMENTAL SERVICES, INC.
Active
Organization
PEDIATRIC MINDS DEVELOPMENTAL SERVICES, INC.
Active
Other names
Pediatric Minds Developmental Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANTEA SHARIFI HANNAUER MD (OWNER)
(310) 540-1630
Entity
Organization
Contact information
Practice address
3524 TORRANCE BLVD STE 104, TORRANCE, CA 90503-4821
(310) 540-1630
(310) 540-1610
Mailing address
3524 TORRANCE BLVD STE 104, TORRANCE, CA 90503-4821
(310) 540-1630
(310) 540-1610
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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