Individual
DR. BEN BEHZAD FARROKHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
480 ALTA RD, SAN DIEGO, CA 92179-0001
(619) 661-6500
Mailing address
22016 BUENA VENTURA ST, WOODLAND HILLS, CA 91364-4101
(818) 437-1837
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34545
CA
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
09/15/2017
Last updated
04/16/2024
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