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NPI Code Detail

MEDICARE: BEHNAM PARTOVI PHD

MEDICARE:   BEHNAM  PARTOVI  PHD
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
1103TC0700XClinical PsychologistPSY20916CA

General Provider Information

NPI Number : 1306851076
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEHNAM PARTOVI PHD
Provider Business Mailing Address
First Line : 12304 SANTA MONICA BLVD
Second Line : # 315
City : LOS ANGELES
State : CA
Zip : 90025-2551
Country : US
Telephone Number : 310-930-7500
Fax Number : 310-622-5741
Provider Business Practice Location Address
First Line : 12304 SANTA MONICA BLVD
Second Line : # 315
City : LOS ANGELES
State : CA
Zip : 90025-2551
Country : US
Telephone Number : 310-930-7500
Fax Number : 310-453-3909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 08/13/2024

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Directions to “ BEHNAM PARTOVI PHD” Practice Location

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