| Shoreline Mental Health, Inc | |
|
610 Pacific Coast Hwy Ste 201 Seal Beach CA 90740-6650 | |
| (562) 493-6799 | |
| (562) 493-6578 |
| Full Name | Shoreline Mental Health, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 610 Pacific Coast Hwy Ste 201, Seal Beach, California |
| Authorized Official Name and Position | Zara Ashikyan (CEO) |
| Authorized Official Contact | 5624936799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Mental Health, Inc 610 Pacific Coast Hwy Ste 201 Seal Beach CA 90740-6650 Ph: (562) 493-6799 | Shoreline Mental Health, Inc 610 Pacific Coast Hwy Ste 201 Seal Beach CA 90740-6650 Ph: (562) 493-6799 |
| NPI Number | 1467965475 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467965475 | NPI | - | NPPES |
| 2325680 | Other | CA | HEALTHNET |
| 2357845 | Other | CA | HEALTHNET |
| 2107587 | Other | CA | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY21081 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A117029 (California) | Primary |
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