| Roxanna Farinpour Inc | |
|
45025 Manitou Dr Ste 17 Indian Wells CA 92210-9068 | |
| (760) 200-0688 | |
| Not Available |
| Full Name | Roxanna Farinpour Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 45025 Manitou Dr Ste 17, Indian Wells, California |
| Authorized Official Name and Position | Roxanna Farinpour (OWNER) |
| Authorized Official Contact | 7602000688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxanna Farinpour Inc 45025 Manitou Dr Ste 17 Indian Wells CA 92210-9068 Ph: () - | Roxanna Farinpour Inc 45025 Manitou Dr Ste 17 Indian Wells CA 92210-9068 Ph: (760) 200-0688 |
| NPI Number | 1326623489 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Medicare PECOS PAC ID | 8426457003 |
|---|---|
| Medicare Enrollment ID | O20210602001326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326623489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Roxanna Farinpour |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255408282 PECOS PAC ID: 2466454764 Enrollment ID: I20070214000401 |
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