| Emerald Shores Psychological Center | |
|
113 Waterworks Way Ste 100 Irvine CA 92618-3171 | |
| (949) 436-9418 | |
| (760) 859-3877 |
| Full Name | Emerald Shores Psychological Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 113 Waterworks Way Ste 100, Irvine, California |
| Authorized Official Name and Position | Payam Jafari (OWNER/ PRESIDENT) |
| Authorized Official Contact | 9492319968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Shores Psychological Center 113 Waterworks Way Ste 100 Irvine CA 92618-3171 Ph: (949) 436-9418 | Emerald Shores Psychological Center 113 Waterworks Way Ste 100 Irvine CA 92618-3171 Ph: (949) 436-9418 |
| NPI Number | 1003453804 |
|---|---|
| Provider Enumeration Date | 11/30/2019 |
| Last Update Date | 11/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003453804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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