| Doctor Name: | DR. TIANA MONDACA |
| NPI Number: | 1063555746 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY 20493 |
| Business Practice Address: | 23801 Calabasas Rd Suite 2036 Calabasas, CA - 913021547 |
| Business Phone Number: | 8183243698 |
| Business Fax Number: | |
| Mailing Address: | 23801 Calabasas Rd, Suite 2036 CALABASAS |
| State: | CA |
| Postal Code: | 913021547 |
| Phone Number: | 8183243698 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 20493 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |