Healthcare Provider Details
I. General information
NPI: 1194898999
Provider Name (Legal Business Name): HAREL PAPIKIAN PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/17/2006
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 UCLA MEDICAL PLAZA SUITE 2200
LOS ANGELES CA
90095-8346
US
IV. Provider business mailing address
5767 W CENTURY BLVD SUITE 2200
LOS ANGELES CA
90095-8346
US
V. Phone/Fax
- Phone: 310-825-9989
- Fax: 310-267-1908
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY22807 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | PSY22807 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: