MEDICARE: DR. ANA OCHOA PSYD

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		CA

General Provider Information

NPI Number	:	1033399639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANA OCHOA PSYD

Provider Business Mailing Address
First Line	:	13351 RIVERSIDE DR # 581D
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-2542
Country	:	US
Telephone Number	:	818-648-6405
Fax Number	:

Provider Business Practice Location Address
First Line	:	13351 RIVERSIDE DR # 581D
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-2542
Country	:	US
Telephone Number	:	818-648-6405
Fax Number	:

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

Provider Enumeration Date	:	11/12/2007
Last Update Date	:	10/30/2014

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