MEDICARE: LALEH AFLATOONI

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
1	103TF0000X	Family Psychologist	LMFT131873	CA

General Provider Information

NPI Number	:	1225771140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LALEH AFLATOONI

Provider Business Mailing Address
First Line	:	420 FAIRVIEW AVE APT 202
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-9148
Country	:	US
Telephone Number	:	626-818-2747
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 FAIRVIEW AVE APT 202
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-9148
Country	:	US
Telephone Number	:	626-818-2747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	04/18/2022

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Directions to “ LALEH AFLATOONI ” Practice Location

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