Provider Demographics
NPI:1528604899
Name:LIVE BEST PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:LIVE BEST PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AFROUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAYE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-490-2538
Mailing Address - Street 1:9300 WILSHIRE BLVD STE 306
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3200
Mailing Address - Country:US
Mailing Address - Phone:310-490-2538
Mailing Address - Fax:310-276-4010
Practice Address - Street 1:9300 WILSHIRE BLVD STE 306
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3200
Practice Address - Country:US
Practice Address - Phone:310-490-2538
Practice Address - Fax:310-276-4010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY23887OtherCA BOARD OF PSYCHOLOGY