Randall Lee Ahn PHD, MLIS

NPI 1093939399 - Psychologist - 103TC2200X

NPI Details
NPI 1093939399
Gender Male
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
18663 VENTURA BLVD
#301
TARZANA CA, 91356-4162, US
Phone (818) 881-5198
Fax (818) 881-2863
Business Location
PO BOX 17000
ENCINO CA, 91416-7000, US
Phone (818) 881-5198
Fax (818) 881-2863
Toxanomy
Taxonomy Code 103TC2200X
License State California
License Number PSY13956
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According to our database, Dr. Randall Lee Ahn PHD, MLIS NPI is 1093939399, taxonomy code is 103TC2200X and license number is PSY13956, license state is located at California. Randall Lee Ahn PHD, MLIS physically located at 18663 Ventura Blvd, Tarzana CA, 91356-4162. NPI Number Randall Lee Ahn PHD, MLIS has the Individual type.

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1093939399 NPI number is provided on an as is basis without warranty of any kind. 1093939399 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Lee Ahn PHD, MLIS are for informational purposes only.