Provider Information for 1225345671
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Mr. ROBERTO ERYAN ATTALLA lcsw
Sex: Male
NPI: 1225345671
Last Updated: 2023-12-27
Certification Date: 2023-12-27
Certification Date: 2023-12-27
Details
| Name | Value | ||||||||||||||||
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| NPI | 1225345671 | ||||||||||||||||
| Enumeration Date | 2010-09-07 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 6415 OAK AVE TEMPLE CITY, CA 91780-1338 United States Phone: 626-215-2967 | Fax: | ||||||||||||||||
| Primary Practice Address | 1200 WILSHIRE BLVD SUITE 100 LOS ANGELES, CA 90017-1908 United States Phone: 213-481-7464 | Fax: | ||||||||||||||||
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