Individual
DR. AMITA FIROUZI FAKHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356
(310) 350-0577
Mailing address
10940 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90024-3940
(424) 268-8626
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32006
CA
106H00000X
Marriage & Family Therapist
110565
CA
Other
Enumeration date
02/15/2019
Last updated
06/03/2021
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