| Kamran Psychology Inc | |
|
65 N Madison Ave Ste 707 Pasadena CA 91101-2046 | |
| (818) 527-5218 | |
| Not Available |
| Full Name | Kamran Psychology Inc |
|---|---|
| Speciality | Psychologist |
| Location | 65 N Madison Ave Ste 707, Pasadena, California |
| Authorized Official Name and Position | Kamran Eshtehardi (CEO) |
| Authorized Official Contact | 8185275218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kamran Psychology Inc 65 N Madison Ave Ste 707 Pasadena CA 91101-2046 Ph: () - | Kamran Psychology Inc 65 N Madison Ave Ste 707 Pasadena CA 91101-2046 Ph: (818) 527-5218 |
| NPI Number | 1497403620 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Medicare PECOS PAC ID | 9931588936 |
|---|---|
| Medicare Enrollment ID | O20220622001672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497403620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kamran Eshtehardi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043767098 PECOS PAC ID: 0840679841 Enrollment ID: I20220622001761 |
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