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10800 Paramount Blvd Ste 202 Downey CA 90241-3317 | |
| (562) 861-7226 | |
| (562) 861-6876 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 10800 Paramount Blvd Ste 202, Downey, California |
| Authorized Official Name and Position | Alan A. Modarressi (OWNER) |
| Authorized Official Contact | 5628617226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
10800 Paramount Blvd Ste 202 Downey CA 90241-3317 Ph: (562) 861-7226 | 10800 Paramount Blvd Ste 202 Downey CA 90241-3317 Ph: (562) 861-7226 |
| NPI Number | 1023278876 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Medicare PECOS PAC ID | 8325102718 |
|---|---|
| Medicare Enrollment ID | O20090129000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023278876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alan Modarressi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598889230 PECOS PAC ID: 2264596659 Enrollment ID: I20090129000563 |
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