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General NPI Number Information
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NPI Number | 1154072718
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Entity Type | Organization
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Legal Business Name | GUIDED PSYCHIATRIC SERVICES
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Dates
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Enumeration Date | 01/15/2022
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 12304 SANTA MONICA BLVD STE 314
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City | LOS ANGELES
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State | CA
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Zip | 90025-2551
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Country | US
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Telephone | 213-349-6533
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Fax |
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Provider Business Mailing Address
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Address Line | 1339 N SYCAMORE AVE APT 313
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City | LOS ANGELES
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State | CA
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Zip | 90028-7558
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Country | US
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Telephone | 213-349-6533
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN KHOUBIAN
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Credential | MD
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Telephone | 213-349-6533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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