| Emerald Shores Psychological Professional Corporation | |
|
27702 Rubidoux Mission Viejo CA 92692-5223 | |
| (949) 231-9968 | |
| Not Available |
| Full Name | Emerald Shores Psychological Professional Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 27702 Rubidoux, Mission Viejo, California |
| Authorized Official Name and Position | Payam Jafari (PSYCHOLOGIST) |
| Authorized Official Contact | 9492319968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Shores Psychological Professional Corporation 6230 Irvine Blvd Unit 503 Irvine CA 92620-2103 Ph: (949) 436-9418 | Emerald Shores Psychological Professional Corporation 27702 Rubidoux Mission Viejo CA 92692-5223 Ph: (949) 231-9968 |
| NPI Number | 1003453804 |
|---|---|
| Provider Enumeration Date | 11/30/2019 |
| Last Update Date | 08/17/2024 |
| Certification Date | 08/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003453804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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