Individual
DR. DORIT SUSAN ILANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1605 EASTLAKE AVE, LOS ANGELES, CA 90033-1009
(323) 226-8829
(323) 226-8820
Mailing address
1605 EASTLAKE AVE, LOS ANGELES, CA 90033-1009
(323) 226-8829
(323) 226-8820
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
WAVERED
CA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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