Gabichvadze, Mindia
Gabichvadze, Mindia is an sole proprietor health care provider with primary practice located at 9713 Santa Monica Blvd Ste 201 , Beverly Hills CA 90210-4236. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Gabichvadze, Mindia can be contacted via phone (310) 564-5400.Contact Information
Primary practice address
9713 Santa Monica Blvd Ste 201
Beverly Hills CA 90210-4236
Phone: (310) 564-5400
Fax: (844) 654-2900
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY34139 | California |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY34139 | California |
Profile Details
NPI number | 1063747137 |
---|---|
LBN Legal business name | Gabichvadze, Mindia |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 7th, 2009 |
Last updated | Jul 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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