MEDICARE: PAULINA FEGHALI

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	103TC0700X	Clinical Psychologist	36286	CA

General Provider Information

NPI Number	:	1467183293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINA FEGHALI

Provider Business Mailing Address
First Line	:	3250 WILSHIRE BLVD STE 1101
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-1513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6062
Country	:	US
Telephone Number	:	323-660-2450
Fax Number	:

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

Provider Enumeration Date	:	06/22/2022
Last Update Date	:	02/27/2026

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Directions to “ PAULINA FEGHALI ” Practice Location

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