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General NPI Number Information
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NPI Number | 1538078423
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Entity Type | Organization
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Legal Business Name | SELF LOVE INTEGRATIVE PSYCHOLOGY, INC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 17762 COWAN STE 100
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City | IRVINE
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State | CA
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Zip | 92614-6035
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Country | US
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Telephone | 949-342-5053
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Fax | 949-266-5619
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Provider Business Mailing Address
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Address Line | 4590 MACARTHUR BLVD STE 500
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2028
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Country | US
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Telephone | 949-342-5053
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Fax | 949-266-5619
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HESSAM MOTAMEDIAN
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Credential | PSYD
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Telephone | 949-342-5053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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