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NPI Code Detail

MEDICARE: DR. DALIA ADEINA PHD

MEDICARE: DR. DALIA ADEINA 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 PsychologistPSY22908CA

General Provider Information

NPI Number : 1790018497
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DALIA ADEINA PHD
Provider Business Mailing Address
First Line : 21125 CENTRE POINTE PKWY
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-2994
Country : US
Telephone Number : 855-435-3801
Fax Number : 661-214-7440
Provider Business Practice Location Address
First Line : 21125 CENTRE POINTE PKWY
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-2994
Country : US
Telephone Number : 855-435-3801
Fax Number : 661-214-7440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2009
Last Update Date : 08/25/2022

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