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Individual

DANTE TAITANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYCHOLOGIST

Contact information

Practice address
4221 WILSHIRE BLVD STE 170-16, LOS ANGELES, CA 90010-3519
(213) 441-6780
Mailing address
4221 WILSHIRE BLVD STE 170-16, LOS ANGELES, CA 90010-3519
(213) 441-6780

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
170155888
CA

Other

Enumeration date
08/29/2020
Last updated
08/29/2020
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