7 Cycles Of Life | |
2821 Crow Canyon Rd Ste 202 San Ramon CA 94583-1659 | |
(925) 895-2296 | |
(925) 964-8877 |
Full Name | 7 Cycles Of Life |
---|---|
Speciality | Psychologist |
Location | 2821 Crow Canyon Rd Ste 202, San Ramon, California |
Authorized Official Name and Position | Marjan Moinzadeh (OWNER) |
Authorized Official Contact | 9258952296 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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7 Cycles Of Life 191 Cameo Dr Danville CA 94526-1644 Ph: (925) 895-2296 | 7 Cycles Of Life 2821 Crow Canyon Rd Ste 202 San Ramon CA 94583-1659 Ph: (925) 895-2296 |
NPI Number | 1417528480 |
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Provider Enumeration Date | 07/09/2021 |
Last Update Date | 07/09/2021 |
Certification Date | 07/09/2021 |
Medicare PECOS PAC ID | 8426447475 |
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Medicare Enrollment ID | O20211111002452 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417528480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Marjan Moinzadeh |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366540510 PECOS PAC ID: 2668423807 Enrollment ID: I20050204000768 |
Provider Name | Kiran C Easwarachandran |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760744098 PECOS PAC ID: 0143476341 Enrollment ID: I20160414000457 |
Provider Name | Parvin Pourasef |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447493150 PECOS PAC ID: 7315200490 Enrollment ID: I20180424002959 |
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