NPI 1265138630 · live from the CMS NPI Registry
A Gheytanchi PHD, A Psychological Corporation
Psychologist in Santa Monica, CA. National Provider Identifier 1265138630, active.
NPI record
| NPI | 1265138630 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 3301 Ocean Park Blvd Ste 110, Santa Monica, CA 90405 |
| Practice phone | 310-709-3073 |
| Mailing address | 10384 Holman Ave, Los Angeles, CA 90024 |
| Enumerated | February 6, 2023 |
| Last updated | February 6, 2023 |
| Authorized official | Anahita Gheytanchi, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.