| Align Remedy | |
|
260 Newport Center Dr Ste 206 Newport Beach CA 92660-7520 | |
| (310) 849-0801 | |
| Not Available |
| Full Name | Align Remedy |
|---|---|
| Speciality | Clinic/Center |
| Location | 260 Newport Center Dr Ste 206, Newport Beach, California |
| Authorized Official Name and Position | Shahrzad Jalali Bidgoli (PRESIDENT AND CEO) |
| Authorized Official Contact | 3108490801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Remedy 260 Newport Center Dr Ste 206 Newport Beach CA 92660-7520 Ph: (310) 849-0801 | Align Remedy 260 Newport Center Dr Ste 206 Newport Beach CA 92660-7520 Ph: (310) 849-0801 |
| NPI Number | 1215626049 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Medicare PECOS PAC ID | 6901251867 |
|---|---|
| Medicare Enrollment ID | O20231012000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215626049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shahrzad Jalali Bidgoli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558631747 PECOS PAC ID: 3274816764 Enrollment ID: I20170207002140 |
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