Individual
DR. FARZANEH EHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
15315 MAGNOLIA BLVD STE 400, SHERMAN OAKS, CA 91403-1175
(310) 877-0600
Mailing address
2311 ROSCOMARE RD UNIT 8, LOS ANGELES, CA 90077-1846
(310) 877-0600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
28121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28121
CA BOARD OF PSYCHOLOGY - LICENCED CLINICAL PSYCHOLOGIST
CA
05
—
9971542
—
CA
Enumeration date
03/19/2014
Last updated
05/03/2021
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