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Individual

DR. ANDREA TABUENCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
760 WESTWOOD PLZ STE 47-417, LOS ANGELES, CA 90095-1419
(310) 825-6731
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY28819
CA

Other

Enumeration date
04/30/2015
Last updated
08/13/2025
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