Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY19639 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY19639 | CA |
NPI | 1003849613 |
---|---|
Provider Name | Dr. Arpi Minassian |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-9000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 23/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PSY196390 | (05) | CA |
Q52573 | (02) | CA |