Individual
BAHAR EHFAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12618 HAWTHORNE BLVD, HAWTHORNE, CA 90250-3907
(310) 263-5700
Mailing address
12618 HAWTHORNE BLVD, HAWTHORNE, CA 90250-3907
(310) 263-5700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33785
CA
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2018
Last updated
11/08/2022
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