Sacha Miran Bollas
Psychoanalysis Clinical Psychologist Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
1990 S Bundy Dr Ste 320
Los Angeles
, California 90025-5249
Sacha Miran Bollas
Psychoanalysis Clinical Psychologist Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
1990 S Bundy Dr Ste 320
Los Angeles
, California 90025-5249
(310) 741-7408
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Psychoanalysis
Languages spoken
- English
Location
First Address
- Sacha Miran Bollas
- 3786 Beethoven St
- Los Angeles, CA
- Zip : 90066-3536
- Phone : (310) 741-7408
Second Address
- Sacha Miran Bollas
- 1990 S Bundy Dr Ste 320
- Los Angeles, CA
- Zip : 90025-5249
- Phone : (310) 741-7408
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Is Sacha Miran Bollas a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY28063 | CA |
| Y | 103G00000X | Clinical Psychologist | PSY28063 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY28063 | CA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY28063 | CA |
| N | 103TP0814X | Psychoanalysis | PSY28063 | CA |
National Provider Identifier
| NPI | 1225506900 |
|---|---|
| Provider Name | Sacha Miran Bollas |
| First Address | Los Angeles, CA 90066-3536 |
| Second Address | Los Angeles, CA 90025-5249 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/11/2018 |
| Last Update Date | 11/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.