Shafa Psychiatric And Consulting Center | |
265 S Randolph Ave Ste 290 Brea CA 92821-5702 | |
(657) 341-4422 | |
Not Available |
Full Name | Shafa Psychiatric And Consulting Center |
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Speciality | Clinic/center - Adult Mental Health |
Location | 265 S Randolph Ave Ste 290, Brea, California |
Authorized Official Name and Position | Khosravi Gohar (CEO PRESIDENT) |
Authorized Official Contact | 6573414422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shafa Psychiatric And Consulting Center 1400 N Kraemer Blvd Unit 171 Placentia CA 92871-1408 Ph: (657) 341-4422 | Shafa Psychiatric And Consulting Center 265 S Randolph Ave Ste 290 Brea CA 92821-5702 Ph: (657) 341-4422 |
NPI Number | 1689374027 |
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Provider Enumeration Date | 03/06/2023 |
Last Update Date | 03/06/2023 |
Certification Date | 03/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689374027 | NPI | - | NPPES |
1912384611 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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