Individual
GRACIELA ZONCA BERENFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RP
Contact information
Practice address
1200 WILSHIRE BLVD, SUITE 210, LOS ANGELES, CA 90017-1908
(213) 481-1374
Mailing address
3724 GLENDON AVE, APT 301, LOS ANGELES, CA 90034-6263
(310) 836-6243
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
RPS2006004
CA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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