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12625 High Bluff Dr Ste 103 San Diego CA 92130-2053 | |
| (858) 877-1750 | |
| (855) 554-1110 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12625 High Bluff Dr Ste 103, San Diego, California |
| Authorized Official Name and Position | Hedieh Azadmehr (PRESIDENT) |
| Authorized Official Contact | 8588771750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12636 High Bluff Dr San Diego CA 92130-2022 Ph: (858) 877-1860 | 12625 High Bluff Dr Ste 103 San Diego CA 92130-2053 Ph: (858) 877-1750 |
| NPI Number | 1356011217 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356011217 | NPI | - | NPPES |
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