| Neda Heidari M.d. Inc | |
|
1801 Solar Dr Ste 165 Oxnard CA 93030-8228 | |
| (805) 744-2141 | |
| (805) 744-2151 |
| Full Name | Neda Heidari M.d. Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1801 Solar Dr Ste 165, Oxnard, California |
| Authorized Official Name and Position | Neda Heidari (CEO) |
| Authorized Official Contact | 8057442141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neda Heidari M.d. Inc 2390 Las Posas Rd Camarillo CA 93010-3479 Ph: () - | Neda Heidari M.d. Inc 1801 Solar Dr Ste 165 Oxnard CA 93030-8228 Ph: (805) 744-2141 |
| NPI Number | 1578212874 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Medicare PECOS PAC ID | 2264898683 |
|---|---|
| Medicare Enrollment ID | O20230509002892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578212874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Neda Heidari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003028556 PECOS PAC ID: 1557554078 Enrollment ID: I20101015001282 |
| Provider Name | Kaliyan Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306421656 PECOS PAC ID: 0345616926 Enrollment ID: I20221024000552 |
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