Individual
DR. BAHMAN REZAIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1314 WESTWOOD BLVD, UNIT 211, LOS ANGELES, CA 90024-4902
(310) 421-8211
Mailing address
PO BOX 4921, WEST HILLS, CA 91308-4921
(310) 421-8211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
17817
CA
103TC0700X
Clinical Psychologist
2418
CO
Other
Enumeration date
11/09/2005
Last updated
03/24/2014
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