MEDICARE: DR. MIKE AZARYA SELIKTAR PH.D.

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1578734125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIKE AZARYA SELIKTAR PH.D.

Provider Business Mailing Address
First Line	:	7250 FRANKLIN AVE. # 810
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046
Country	:	US
Telephone Number	:	323-851-7723
Fax Number	:

Provider Business Practice Location Address
First Line	:	4929 WILSHIRE BLVD
Second Line	:	SUITE 510
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3808
Country	:	US
Telephone Number	:	562-904-3999
Fax Number	:	855-688-6746

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

Provider Enumeration Date	:	03/21/2008
Last Update Date	:	11/21/2013

Similar Medicare Providers

1700871233 — INTRA CARE HOME HEALTH PROVIDERS INC
Practice Location Address:

4929 WILSHIRE BLVD , SUITE 210
LOS ANGELES, CA
90010-3808

Practice Phone: 323-964-0884
Practice Fax: 323-857-7206

1841281292 — ISRAEL RUBENSTEIN PH.D.
Practice Location Address:

4929 WILSHIRE BLVD , SUITE 510
LOS ANGELES, CA
90010-3808

Practice Phone: 562-904-3999
Practice Fax:

1144292228 — DR. LEWIS CHARLES CARR PH.D., ABPP
Practice Location Address:

4929 WILSHIRE BLVD , SUITE NUMBER 510
LOS ANGELES, CA
90010-3808

Practice Phone: 562-904-3999
Practice Fax: 855-688-6746

1699858464 — MR. TODD MICHAEL JUNGKUNTZ PSYD
Practice Location Address:

4929 WILSHIRE BLVD , SUITE 510
LOS ANGELES, CA
90010-3808

Practice Phone: 562-904-3999
Practice Fax: 855-688-6746

1194916957 — DR. BARBARA ELLEN FANNIN PHD
Practice Location Address:

4929 WILSHIRE BLVD , SUITE NUMBER 510
LOS ANGELES, CA
90010-3808

Practice Phone: 562-904-3999
Practice Fax: 855-688-6746

1750697991 — MRS. MALKA GABRIELLA FRIEDMAN PSYD
Practice Location Address:

4929 WILSHIRE BLVD , SUITE 510
LOS ANGELES, CA
90010-3808

Practice Phone: 562-904-3999
Practice Fax:

Directions to “ DR. MIKE AZARYA SELIKTAR PH.D.” 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.