| Pardis Amirhoushmand, Ph.d., A Psychology Corporation | |
|
317 W F St Ontario CA 91762-3205 | |
| (714) 325-5621 | |
| Not Available |
| Full Name | Pardis Amirhoushmand, Ph.d., A Psychology Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 317 W F St, Ontario, California |
| Authorized Official Name and Position | Pardis Amirhoushmand (OWNER) |
| Authorized Official Contact | 7143255621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pardis Amirhoushmand, Ph.d., A Psychology Corporation 317 W F St Ontario CA 91762-3205 Ph: (714) 325-5621 | Pardis Amirhoushmand, Ph.d., A Psychology Corporation 317 W F St Ontario CA 91762-3205 Ph: (714) 325-5621 |
| NPI Number | 1700239357 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 07/19/2016 |
| Medicare PECOS PAC ID | 3577850825 |
|---|---|
| Medicare Enrollment ID | O20160929002028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700239357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 22915 (California) | Primary |
| Provider Name | Pardis Amirhoushmand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003946179 PECOS PAC ID: 3375699853 Enrollment ID: I20090924000556 |
| Provider Name | Carlos Galvan Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023205390 PECOS PAC ID: 9830469428 Enrollment ID: I20170713002926 |
| Provider Name | Richard Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275931529 PECOS PAC ID: 8325319817 Enrollment ID: I20170801003691 |
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