Individual
DR. HAYGOUSH KALINIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30320 RANCHO VIEJO RD STE 102, SAN JUAN CAPISTRANO, CA 92675-1582
(949) 481-8414
(949) 481-8415
Mailing address
30320 RANCHO VIEJO RD STE 102, SAN JUAN CAPISTRANO, CA 92675-1582
(949) 481-8414
(949) 481-8415
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY20155
CA
103TC0700X
Clinical Psychologist
PSY20155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PL201550
BLUE SHIELD PROVIDER #
CA
Enumeration date
04/17/2006
Last updated
06/03/2023
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