| Sapozhnikov & Psychological Associates Inc | |
|
150 S Commonwealth Ave Los Angeles CA 90004-6006 | |
| (310) 592-1758 | |
| Not Available |
| Full Name | Sapozhnikov & Psychological Associates Inc |
|---|---|
| Speciality | Psychologist |
| Location | 150 S Commonwealth Ave, Los Angeles, California |
| Authorized Official Name and Position | Zhanna Sapozhnikov (PRESIDENT) |
| Authorized Official Contact | 3105921758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sapozhnikov & Psychological Associates Inc 11301 W Olympic Blvd Ste 121-440 Los Angeles CA 90064-1653 Ph: (310) 592-1758 | Sapozhnikov & Psychological Associates Inc 150 S Commonwealth Ave Los Angeles CA 90004-6006 Ph: (310) 592-1758 |
| NPI Number | 1023057981 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 02/08/2018 |
| Medicare PECOS PAC ID | 1557371341 |
|---|---|
| Medicare Enrollment ID | O20060424000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023057981 | NPI | - | NPPES |
| W19759 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY19517 (California) | Primary |
| Provider Name | Zhanna Sapozhnikov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023204492 PECOS PAC ID: 5092606616 Enrollment ID: I20040323001128 |
| Provider Name | Jeffrey A Cutler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780919191 PECOS PAC ID: 2062550304 Enrollment ID: I20091106000491 |
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