Individual
DR. AMIR MAHDAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15456 VENTURA BLVD STE 500, SHERMAN OAKS, CA 91403-3023
(818) 917-7773
Mailing address
PO BOX 4403, WEST HILLS, CA 91308-4403
(818) 917-7773
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
020974
NY
103TC0700X
Clinical Psychologist
Primary
PSY30512
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CB322340
—
CA
Enumeration date
07/04/2010
Last updated
04/07/2021
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