Organization
A GHEYTANCHI PHD, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAHITA GHEYTANCHI PHD (OWNER)
(310) 709-3073
Entity
Organization
Contact information
Practice address
3301 OCEAN PARK BLVD STE 110, SANTA MONICA, CA 90405-3223
(310) 709-3073
Mailing address
10384 HOLMAN AVE, LOS ANGELES, CA 90024-5351
(323) 270-1083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538477800
NPI
CA
Enumeration date
02/06/2023
Last updated
02/06/2023
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