| E&t Behavioral Advisory | |
|
950 N Ramona Blvd Suite 2 San Jacinto CA 92582-2567 | |
| (718) 551-1378 | |
| (951) 487-2679 |
| Full Name | E&t Behavioral Advisory |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 950 N Ramona Blvd, San Jacinto, California |
| Authorized Official Name and Position | Mehran Motamed (PSYCHIATRIST) |
| Authorized Official Contact | 7185511378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E&t Behavioral Advisory 31086 Larchwood St Menifee CA 92584-8702 Ph: (718) 551-1378 | E&t Behavioral Advisory 950 N Ramona Blvd Suite 2 San Jacinto CA 92582-2567 Ph: (718) 551-1378 |
| NPI Number | 1083983944 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083983944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A89851 (California) | Primary |
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