DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. MINDIA GABICHVADZE PSYD

MEDICARE: DR. MINDIA GABICHVADZE PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY34139CA
2103G00000XClinical NeuropsychologistPSY34139CA

General Provider Information

NPI Number : 1063747137
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MINDIA GABICHVADZE PSYD
Provider Business Mailing Address
First Line : 9713 SANTA MONICA BLVD STE 201
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4236
Country : US
Telephone Number : 310-564-5400
Fax Number : 844-654-2900
Provider Business Practice Location Address
First Line : 9713 SANTA MONICA BLVD STE 201
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4236
Country : US
Telephone Number : 310-564-5400
Fax Number : 844-654-2900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2009
Last Update Date : 07/21/2023

Similar Medicare Providers

1831058429 — MEESHA MERAT AMFT
Practice Location Address:
9713 SANTA MONICA BLVD STE 201
BEVERLY HILLS, CA
90210-4236
Practice Phone: 310-564-5400
Practice Fax:
1396096111 — GRACIE FAYE BISHOP LMFT
Practice Location Address:
9713 SANTA MONICA BLVD STE 201
BEVERLY HILLS, CA
90210-4236
Practice Phone: 310-564-5400
Practice Fax:
1114341229 — MATTHEW PERMUY MA, AMFT
Practice Location Address:
9713 SANTA MONICA BLVD STE 201
BEVERLY HILLS, CA
90210-4236
Practice Phone: 310-564-5400
Practice Fax:
1790207405 — JEFF POWELL
Practice Location Address:
9713 SANTA MONICA BLVD STE 201
BEVERLY HILLS, CA
90210-4236
Practice Phone: 310-564-5400
Practice Fax:
1730678087 — JONATHAN EDWARD GRIFFIN
Practice Location Address:
9713 SANTA MONICA BLVD STE 201
BEVERLY HILLS, CA
90210-4236
Practice Phone: 310-564-5400
Practice Fax:
1386201978 — EDNA MELISSA ROSAL
Practice Location Address:
9713 SANTA MONICA BLVD STE 201
BEVERLY HILLS, CA
90210-4236
Practice Phone: 310-564-5400
Practice Fax:

Directions to “ DR. MINDIA GABICHVADZE PSYD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.