Individual
DR. FARRAH R MIRZAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
5603 S CENTRAL AVE, LOS ANGELES, CA 90011-5967
(323) 377-9812
Mailing address
5603 S CENTRAL AVE, LOS ANGELES, CA 90011-5967
(323) 432-3700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY30773
CA
Other
Enumeration date
10/20/2014
Last updated
07/21/2024
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