Individual
DR. AJAY MALHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5014 CHESEBRO RD, 2ND FLOOR, AGOURA HILLS, CA 91301-2278
(888) 691-3223
Mailing address
5014 CHESEBRO RD, 2ND FLOOR, AGOURA HILLS, CA 91301-2278
(888) 691-3223
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12365
CA
103TF0200X
Forensic Psychologist
PSY12365
CA
Other
Enumeration date
05/19/2010
Last updated
03/11/2014
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