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Individual

DR. ASAF VILCHIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1852 LAKE SHORE AVE, LOS ANGELES, CA 90026-1716
(310) 773-1142
Mailing address
8605 SANTA MONICA BLVD, #32360, LOS ANGELES, CA 90069-4109
(310) 773-1142

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 22705
CA

Other

Enumeration date
06/01/2009
Last updated
06/01/2009
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