Provider Information for 1386165843
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ALIK SEGAL MFTI
Sex: Male
NPI: 1386165843
Last Updated: 2023-08-09
Certification Date: 2023-08-09
Certification Date: 2023-08-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386165843 | ||||||||
| Enumeration Date | 2017-07-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 128 N SWALL DR APT 107 LOS ANGELES, CA 90048-6807 United States Phone: 310-751-0616 | Fax: | ||||||||
| Primary Practice Address | 128 N SWALL DR APT 107 LOS ANGELES, CA 90048-6807 United States Phone: 310-751-0616 | Fax:310-751-0616 | ||||||||
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