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Organization
LIFESPAN HEALTH NETWORK
Active
Organization
LIFESPAN HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION AROM PH.D. (PRESIDENT)
(310) 739-1167
Entity
Organization
Contact information
Practice address
1171 S ROBERTSON BLVD, SUITE 415, LOS ANGELES, CA 90035-1403
(310) 739-1167
Mailing address
1171 S ROBERTSON BLVD, SUITE 415, LOS ANGELES, CA 90035-1403
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
507011
MHN
—
Enumeration date
08/05/2014
Last updated
08/05/2014
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