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Forouzesh Bayat, RADT

Counselor, Addiction (Substance Use Disorder) in Tarzana, CA. Individual provider (NPI-1).

NPI number1104656644
StatusActive
Last updated in NPPESAug 7, 2024

Details

NPI
1104656644
Entity type
Individual (NPI-1)
Name
Forouzesh Bayat
Credential
RADT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 7, 2024
Certification date
Aug 7, 2024
Last updated
Aug 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)–CAYes

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Phone 818-996-1051 · Fax 818-337-7387

Mailing address

Po Box 57944
Sherman Oaks, CA 91413-2944

Phone 818-285-9999

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