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1100 Quail St Ste 206 Newport Beach CA 92660-2782 | |
| (949) 383-8511 | |
| (949) 209-0344 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1100 Quail St Ste 206, Newport Beach, California |
| Authorized Official Name and Position | Shadi Aramesh (PHYSICIAN) |
| Authorized Official Contact | 9493838511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1100 Quail St Ste 206 Newport Beach CA 92660-2782 Ph: (949) 383-8511 | 1100 Quail St Ste 206 Newport Beach CA 92660-2782 Ph: (949) 383-8511 |
| NPI Number | 1861011991 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 0547683757 |
|---|---|
| Medicare Enrollment ID | O20200707001399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861011991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Shadi Aramesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326487091 PECOS PAC ID: 6305105024 Enrollment ID: I20181114002894 |
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