Basic Information
| Provider Information | |||||||||
| NPI: | 1346378106 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PANJABI | ||||||||
| FirstName: | VARSHA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MISS | ||||||||
| NameSuffix: | |||||||||
| Credential: | IMF | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8320 IOWA ST | ||||||||
| Address2: | SUITE 201B | ||||||||
| City: | DOWNEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902414928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629044815 | ||||||||
| FaxNumber: | 5629233273 | ||||||||
| Practice Location | |||||||||
| Address1: | 8320 IOWA ST | ||||||||
| Address2: | SUITE 201B | ||||||||
| City: | DOWNEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902414928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629044815 | ||||||||
| FaxNumber: | 5629233273 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | IMF 45009 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.