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Individual

DR. AZADEH RAHIMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
16661 VENTURA BLVD, SUITE 520, ENCINO, CA 91436-1914
(818) 907-5251
(818) 784-2222
Mailing address
PO BOX 260343, ENCINO, CA 91426-0343
(818) 907-5151
(818) 784-2222

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
PSY15484
CA
103G00000X
Clinical Neuropsychologist
PSY15484
CA
103TC0700X
Clinical Psychologist
Primary
PSY15484
CA

Other

Enumeration date
04/11/2007
Last updated
01/26/2010
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