Healthcare Provider Details

I. General information

NPI: 1679121784
Provider Name (Legal Business Name): ADELA GHARABEKI PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2019
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N ROSEMEAD BLVD STE 204
PASADENA CA
91107-2154
US

IV. Provider business mailing address

600 N ROSEMEAD BLVD STE 204
PASADENA CA
91107-2154
US

V. Phone/Fax

Practice location:
  • Phone: 818-233-0583
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number34379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: