Balashova-Shamis, Elena

Balashova-Shamis, Elena is an sole proprietor health care provider with primary practice located at 4712 Admiralty Way Ste 591 , Marina Del Rey CA 90292-6905. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Balashova-Shamis, Elena can be contacted via phone (310) 850-1699.

Contact Information

Primary practice address
4712 Admiralty Way Ste 591 Marina Del Rey CA 90292-6905
Phone: (310) 850-1699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY20104 California

Profile Details

NPI number 1740705367
LBN Legal business name Balashova-Shamis, Elena
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2017
Last updated Jan 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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