| Vortex Psychiatry, Inc. | |
|
4155 Blackhawk Plaza Cir Ste 240 Danville CA 94506-4613 | |
| (925) 648-2650 | |
| (925) 648-2530 |
| Full Name | Vortex Psychiatry, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4155 Blackhawk Plaza Cir Ste 240, Danville, California |
| Authorized Official Name and Position | Said Ali Ibrahimi (OWNER) |
| Authorized Official Contact | 9256482650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vortex Psychiatry, Inc. 3860 Blackhawk Rd Ste 170 Danville CA 94506-4668 Ph: (925) 648-2650 | Vortex Psychiatry, Inc. 4155 Blackhawk Plaza Cir Ste 240 Danville CA 94506-4613 Ph: (925) 648-2650 |
| NPI Number | 1083088652 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 02/26/2023 |
| Certification Date | 02/26/2023 |
| Medicare PECOS PAC ID | 3072922715 |
|---|---|
| Medicare Enrollment ID | O20210508000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083088652 | NPI | - | NPPES |
| A129171 | Other | CA | MEDICAL LICENSE |
| Provider Name | Said A Ibrahimi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740560861 PECOS PAC ID: 0042458390 Enrollment ID: I20150216000777 |
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