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Regina Pally, MD
Prescribing (Medical) Psychologist in Los Angeles, California
NPI 1053531400

Regina Pally is a Prescribing (Medical) Psychologist based in Los Angeles, CA and is specialized in Prescribing (Medical). Regina Pally practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Regina Pally is 1053531400 and holds a License No. G28298 (California).

The current practice location address for Regina Pally is 11980 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 310-820-2700.

Location: 11980 San Vicente Blvd, Los Angeles, CA, 90049-5012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053531400
Provider Name
Regina Pally
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11980 San Vicente Blvd, Los Angeles, CA, 90049-5012
Phone Number
310-820-2700
Fax Number
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G28298 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
11980 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-5012
Phone Number
310-820-2700
Fax Number
person
Provider Business Mailing Address Details
Address
11980 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-5012
Phone Number
310-820-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
G28298 (California)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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