Individual
MR. ALEX HABIB RIAZATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGY TRAINEE
Contact information
Practice address
921 S BEACON ST, SAN PEDRO, CA 90731-3740
(310) 984-3055
Mailing address
24959 CLIFFROSE ST, CORONA, CA 92883-8468
(310) 505-9815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
09/22/2009
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