Organization
VERDUGO PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMIN GHARIBIAN PSYD (OWNER/ CEO)
(818) 253-1161
Entity
Organization
Contact information
Practice address
10470 FOOTHILL BLVD STE 116, RANCHO CUCAMONGA, CA 91730
(909) 989-4055
Mailing address
466 FOOTHILL BLVD # 205, LA CANADA, CA 91011-3518
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
29643
CA
103TC0700X
Clinical Psychologist
29643
CA
103TF0200X
Forensic Psychologist
29643
CA
Other
Enumeration date
08/03/2018
Last updated
06/04/2019
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