Individual
BRIAN BAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5675 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4712
(323) 965-1365
Mailing address
14032 DOTY AVE APT 305, HAWTHORNE, CA 90250-0517
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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