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NPI Code Detail

MEDICARE: ELHAM RAMTIN THOMPSON PSY.D.

MEDICARE:   ELHAM RAMTIN THOMPSON  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
1103T00000XPsychologistPSY28884CA

General Provider Information

NPI Number : 1992913867
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELHAM RAMTIN THOMPSON PSY.D.
Provider Business Mailing Address
First Line : PO BOX 5373
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90209-5373
Country : US
Telephone Number : 949-354-3550
Fax Number :
Provider Business Practice Location Address
First Line : 12843 LANDALE ST
Second Line :
City : STUDIO CITY
State : CA
Zip : 91604-1352
Country : US
Telephone Number : 949-354-3550
Fax Number : 949-281-1199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 03/21/2024

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