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NPI Code Detail

MEDICARE: DR. ZIBA SAATCHIAN PSY.D.

MEDICARE:  DR. ZIBA  SAATCHIAN  PSY.D.
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 PsychologistPSY28882CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
194020175OTHERCACA BOARD OF PSYCHOLOGY- PSYCHOLOGICAL ASSISTANT

General Provider Information

NPI Number : 1699020180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZIBA SAATCHIAN PSY.D.
Provider Business Mailing Address
First Line : 135 S JACKSON ST
Second Line : SUITE #204
City : GLENDALE
State : CA
Zip : 91205-4916
Country : US
Telephone Number : 818-275-0316
Fax Number :
Provider Business Practice Location Address
First Line : 135 S JACKSON ST
Second Line : SUITE #204
City : GLENDALE
State : CA
Zip : 91205-4916
Country : US
Telephone Number : 818-275-0316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2012
Last Update Date : 01/03/2017

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