NPI 1861622276 · live from the CMS NPI Registry
Sanam Abrishami
Psychologist, Clinical in Los Angeles, CA. National Provider Identifier 1861622276, active.
NPI record
| NPI | 1861622276 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 11965 Venice Blvd Ste 202, Los Angeles, CA 90066 |
| Practice phone | 818-896-1161 |
| Mailing address | 1171 S Robertson Blvd # 104, Los Angeles, CA 90035 |
| Enumerated | July 20, 2009 |
| Last updated | June 18, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PSY26105 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.