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Individual

MR. AMIRATA MAHALLATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
24303 WALNUT ST STE C1, SANTA CLARITA, CA 91321-2900
(661) 410-6313
Mailing address
12021 ELNORA PL, GRANADA HILLS, CA 91344-2330
(310) 403-2749

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
05/30/2023
Last updated
05/30/2023
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