| Doctor Name: | DR. LANA DELSHADI |
| NPI Number: | 1003862137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D. |
| License Number: | PSY16895 |
| Business Practice Address: | 4281 Katella Ave Suite #122 Los Alamitos, CA - 907204416 |
| Business Phone Number: | 7142299900 |
| Business Fax Number: | 7142299959 |
| Mailing Address: | 4281 Katella Ave, Suite #122 LOS ALAMITOS |
| State: | CA |
| Postal Code: | 907203500 |
| Phone Number: | 7142290094 |
| Fax Number: | 7142290180 |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 10/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY16895 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |