| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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