Organization
INGA SIMONIAN, PHD PSYCHOLOGY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGA SIMONIAN PHD (CEO)
(818) 570-1636
Entity
Organization
Contact information
Practice address
14930 VENTURA BLVD STE 230, SHERMAN OAKS, CA 91403-3487
(818) 570-1636
(818) 698-6974
Mailing address
14930 VENTURA BLVD, SUITE 230, SHERMAN OAKS, CA 91403-3447
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PSY25302
CA
Other
Enumeration date
08/10/2015
Last updated
11/19/2019
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