| Azadeh Rahimi, Ph.d. Psychology Inc. | |
|
15233 Ventura Blvd Ste 1202 Sherman Oaks CA 91403-2267 | |
| (818) 907-5251 | |
| Not Available |
| Full Name | Azadeh Rahimi, Ph.d. Psychology Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 15233 Ventura Blvd Ste 1202, Sherman Oaks, California |
| Authorized Official Name and Position | Azadeh Rahimi (C.E.O.) |
| Authorized Official Contact | 8189075251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azadeh Rahimi, Ph.d. Psychology Inc. 15233 Ventura Blvd Ste 1202 Sherman Oaks CA 91403-2267 Ph: (818) 907-5251 | Azadeh Rahimi, Ph.d. Psychology Inc. 15233 Ventura Blvd Ste 1202 Sherman Oaks CA 91403-2267 Ph: (818) 907-5251 |
| NPI Number | 1962770859 |
|---|---|
| Provider Enumeration Date | 12/06/2011 |
| Last Update Date | 12/06/2011 |
| Medicare PECOS PAC ID | 6901068345 |
|---|---|
| Medicare Enrollment ID | O20120502000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962770859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY15484 (California) | Primary |
| Provider Name | Azadeh Rahimi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841414125 PECOS PAC ID: 3173785391 Enrollment ID: I20120507000043 |
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