NPI

Edden Agonafer

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
PsyD
Type
Individual
Enumeration date
2016-06-24
Last updated
2022-04-20

Specialties

Licenses

License CA
31122

Location

Practice location
3855 Lilac Canyon Ln
City
Altadena CA
Postal code
91001-3870
Phone
(254) 214-9431

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Altadena, CA. 617 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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