Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 27175 | CA |
Y | 103TC0700X | Clinical Psychologist | 27175 | CA |
NPI | 1013047596 |
---|---|
Provider Name | Dr. Monica S. Karbassioun |
First Address | Sierra Madre, CA 91024-2462 |
Second Address | Sierra Madre, CA 91024-2462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 03/03/2016 |