Provider Demographics
NPI:1346578044
Name:SADEGHI, RAMI MOSHE (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAMI
Middle Name:MOSHE
Last Name:SADEGHI
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 1:9171 WILSHIRE BLVD STE 610
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5532
Mailing Address - Country:US
Mailing Address - Phone:310-273-7000
Mailing Address - Fax:310-872-5500
Practice Address - Street 1:9171 WILSHIRE BLVD STE 610
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5532
Practice Address - Country:US
Practice Address - Phone:310-273-7000
Practice Address - Fax:310-872-5500
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 19149103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical