Individual
DR. OMAR MINWALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
400 S BEVERLY DR STE 316, BEVERLY HILLS, CA 90212-4405
(310) 286-1300
(310) 286-1330
Mailing address
400 S BEVERLY DR STE 316, BEVERLY HILLS, CA 90212-4405
(310) 286-1300
(310) 286-1330
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
20244
CA
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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