Pavawalla, Shital
Pavawalla, Shital is an individual health care provider with primary practice located at 300 Medical Plaza # B200 , Los Angeles CA 90095-6361. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Pavawalla, Shital can be contacted via phone (310) 794-1195.Contact Information
Primary practice address
300 Medical Plaza # B200
Los Angeles CA 90095-6361
Phone: (310) 794-1195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 24673 | California |
Profile Details
| NPI number | 1336400357 |
|---|---|
| LBN Legal business name | Pavawalla, Shital |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2012 |
| Last updated | Sep 16th, 2020 - about 4 years ago |
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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