| Enhanced Psychological Health Care, Inc | |
|
7183 Navajo Rd Ste G San Diego CA 92119-1650 | |
| (619) 265-8383 | |
| (619) 460-2100 |
| Full Name | Enhanced Psychological Health Care, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 7183 Navajo Rd Ste G, San Diego, California |
| Authorized Official Name and Position | Farideh Hassani Rezai (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6192658383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhanced Psychological Health Care, Inc 7183 Navajo Rd Ste G San Diego CA 92119-1650 Ph: (619) 265-8383 | Enhanced Psychological Health Care, Inc 7183 Navajo Rd Ste G San Diego CA 92119-1650 Ph: (619) 265-8383 |
| NPI Number | 1588029045 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 12/28/2015 |
| Medicare PECOS PAC ID | 7517266174 |
|---|---|
| Medicare Enrollment ID | O20160503001163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588029045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY9899 (California) | Primary |
| Provider Name | Farideh H Rezai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194891234 PECOS PAC ID: 5294929345 Enrollment ID: I20101102001138 |
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