Organization
CALIFORNIA PSYCHOLOGY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNAZ HEDIEH AZINKHAN PSYCHOLOGIST (CEO/PRESIDENT/OWNER)
(424) 256-8480
Entity
Organization
Contact information
Practice address
1435 S VERMONT AVE STE 100, LOS ANGELES, CA 90006-4543
(424) 256-8480
Mailing address
4858 W PICO BLVD STE 718, LOS ANGELES, CA 90019-4225
(424) 256-8480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
05/17/2024
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