Individual
IRINA QUEBLES SURFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D. ABPP
Contact information
Practice address
4650 SUNSET BLVD, MS #53, LOS ANGELES, CA 90207
(323) 361-7723
Mailing address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-2350
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
22023
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH62401
PROVIDER NUMBER
CA
Enumeration date
03/19/2007
Last updated
03/16/2026
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