Organization
ADVANCED MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARZANEH EHSAN PSY,D. (PSYCHOLOGIST)
(310) 877-0600
Entity
Organization
Contact information
Practice address
17514 VENTURA BLVD, 100, ENCINO, CA 91316-3852
(310) 877-0600
Mailing address
18740 VENTURA BLVD STE 202, TARZANA, CA 91356-6310
(310) 877-0600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28121
CA
Other
Enumeration date
08/29/2016
Last updated
05/04/2020
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