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Individual

AIDA KOHANTEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
221 WESTWOOD PLZ BOX 9515.56, LOS ANGELES, CA 90095-4103
(310) 825-0768
Mailing address
221 WESTWOOD PLZ BOX 9515.56, LOS ANGELES, CA 90095-4103
(310) 825-0768

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY35200
CA

Other

Enumeration date
07/19/2018
Last updated
11/04/2025
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