Individual
AMBIKA CHANDRAMOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 WILSHIRE BLVD, SUITE 500, LOS ANGELES, CA 90057-4303
(213) 639-0299
Mailing address
2500 WILSHIRE BLVD, SUITE 500, LOS ANGELES, CA 90057-4303
(213) 639-0299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
71483
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2015
Last updated
08/02/2016
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