| Minoo Dargah Psy D Psychology Inc | |
|
31 Silverado Irvine CA 92618-8888 | |
| (949) 776-4004 | |
| Not Available |
| Full Name | Minoo Dargah Psy D Psychology Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 31 Silverado, Irvine, California |
| Authorized Official Name and Position | Minoo Dargah (CEO) |
| Authorized Official Contact | 9497764004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minoo Dargah Psy D Psychology Inc 4521 Campus Dr # 231 Irvine CA 92612-2621 Ph: (949) 776-4004 | Minoo Dargah Psy D Psychology Inc 31 Silverado Irvine CA 92618-8888 Ph: (949) 776-4004 |
| NPI Number | 1548949977 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Medicare PECOS PAC ID | 5496101180 |
|---|---|
| Medicare Enrollment ID | O20231101002168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548949977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| Provider Name | Minoo Dargah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962960864 PECOS PAC ID: 5890169031 Enrollment ID: I20230329003089 |
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