Provider Demographics
NPI:1588085005
Name:WESTERN PACIFIC PSYCHOLOGICAL NETWORK INC.
Entity type:Organization
Organization Name:WESTERN PACIFIC PSYCHOLOGICAL NETWORK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ZARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-501-4700
Mailing Address - Street 1:15233 VENTURA BLVD, SUITE 350
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS,
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2297
Mailing Address - Country:US
Mailing Address - Phone:818-985-7898
Mailing Address - Fax:
Practice Address - Street 1:15233 VENTURA BLVD STE 350
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2297
Practice Address - Country:US
Practice Address - Phone:818-985-7898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty