Organization
DR HAYGOUSH KALINIAN
Active
Organization
DR HAYGOUSH KALINIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAYGOUSH KALINIAN PHD (NEUROPSYCHOLOGIT)
(949) 481-8414
Entity
Organization
Contact information
Practice address
30320 RANCHO VIEJO RD, ST 5, SAN JUAN CAPISTRANO, CA 92675-1581
(949) 481-8414
(949) 481-8415
Mailing address
30320 RANCHO VIEJO RD, ST 5, SAN JUAN CAPISTRANO, CA 92675-1581
(949) 481-8414
(949) 481-8415
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY20155
CA
103TC0700X
Clinical Psychologist
PSY20155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7099933
AETNA
CA
01
—
CP20155
MEDICARE ID
CA
Enumeration date
04/23/2014
Last updated
04/23/2014
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