| Psychiatric Center | |
|
20801 Sardinia Way Porter Ranch CA 91326-4432 | |
| (337) 302-3930 | |
| Not Available |
| Full Name | Psychiatric Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 20801 Sardinia Way, Porter Ranch, California |
| Authorized Official Name and Position | Ehtesham U Syed (OWNER) |
| Authorized Official Contact | 3373023930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Center 20801 Sardinia Way Porter Ranch CA 91326-4432 Ph: (337) 302-3930 | Psychiatric Center 20801 Sardinia Way Porter Ranch CA 91326-4432 Ph: (337) 302-3930 |
| NPI Number | 1023765658 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 8325427743 |
|---|---|
| Medicare Enrollment ID | O20220615001421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023765658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ehtesham Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326020330 PECOS PAC ID: 3072608975 Enrollment ID: I20220615001470 |
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