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Organization

K&A PSYCHOLOGICAL SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AHMAD REZA RIAHINEJAD PH.D. (PRESIDENT)
(310) 387-4119
Entity
Organization

Contact information

Practice address
1302 AVENIDA DE CORTEZ, 1302 AVENIDA DE CORTEZ, PACIFIC PALISADES, CA 90272-2123
(310) 387-4119
Mailing address
1302 AVENIDA DE CORTEZ, 1302 AVENIDA DE CORTEZ, PACIFIC PALISADES, CA 90272-2123
(310) 387-4119

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PSY16858
CA

Other

Enumeration date
04/11/2011
Last updated
04/19/2011
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