Therapy Based Psychiatry Pc | |
30101 Agoura Ct Ste 204 Agoura Hills CA 91301-4341 | |
(805) 889-0709 | |
(562) 261-1098 |
Full Name | Therapy Based Psychiatry Pc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 30101 Agoura Ct Ste 204, Agoura Hills, California |
Authorized Official Name and Position | Ali Najafian Jazi (CEO) |
Authorized Official Contact | 8058890709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therapy Based Psychiatry Pc 30101 Agoura Ct Ste 204 Agoura Hills CA 91301-4341 Ph: (805) 889-0709 | Therapy Based Psychiatry Pc 30101 Agoura Ct Ste 204 Agoura Hills CA 91301-4341 Ph: (805) 889-0709 |
NPI Number | 1477323954 |
---|---|
Provider Enumeration Date | 01/04/2024 |
Last Update Date | 01/04/2024 |
Certification Date | 01/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477323954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
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