Individual
DR. BONNY SHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1328 WESTWOOD BLVD STE 23, LOS ANGELES, CA 90024-4931
(310) 203-1568
Mailing address
1328 WESTWOOD BLVD STE 23, LOS ANGELES, CA 90024-4931
(310) 203-1568
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19539
CA
Other
Enumeration date
01/31/2016
Last updated
03/02/2016
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