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Individual

AZITA ROUHPARVAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1314 WESTWOOD BLVD, LOS ANGELES, CA 90024-4928
(310) 201-1022
Mailing address
1314 WESTWOOD BLVD, LOS ANGELES, CA 90024-4928

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21070
CA

Other

Enumeration date
08/08/2017
Last updated
08/08/2017
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