Provider Demographics
NPI:1184086159
Name:GHALAMCHI, JAVAD (PHD)
Entity type:Individual
Prefix:DR
First Name:JAVAD
Middle Name:
Last Name:GHALAMCHI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67782 E PALM CANYON DR # B104-174
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-5433
Mailing Address - Country:US
Mailing Address - Phone:760-333-5390
Mailing Address - Fax:
Practice Address - Street 1:10861 CHERRY ST STE 211
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-5407
Practice Address - Country:US
Practice Address - Phone:714-229-0094
Practice Address - Fax:714-229-0180
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist