Individual
DR. BAHRAM EDWARD SHAHROKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
16530 VENTURA BLVD STE 400, ENCINO, CA 91436-4551
(805) 764-1774
Mailing address
16530 VENTURA BLVD STE 400, ENCINO, CA 91436-4551
(805) 764-1774
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY33267
CA
Other
Enumeration date
03/07/2013
Last updated
05/07/2024
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