MEDICARE: MONICA BABAIAN

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	103TC0700X	Clinical Psychologist	33889	CA

General Provider Information

NPI Number	:	1235625906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA BABAIAN

Provider Business Mailing Address
First Line	:	815 E HARVARD RD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91501-1326
Country	:	US
Telephone Number	:	323-559-9589
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 FAIR OAKS AVE STE 101
Second Line	:
City	:	SOUTH PASADENA
State	:	CA
Zip	:	91030-2685
Country	:	US
Telephone Number	:	626-765-4482
Fax Number	:

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

Provider Enumeration Date	:	07/06/2018
Last Update Date	:	01/07/2025

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Directions to “ MONICA BABAIAN ” Practice Location

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