Organization · NPI-2

Shafa Psychiatric & Consulting Center Apc

Clinic/Center · Yorba Linda, CA

NPI number1376239384
StatusActive
Last updated in NPPESApr 14, 2023

Details

NPI
1376239384
Entity type
Organization (NPI-2)
Legal business name
Shafa Psychiatric & Consulting Center Apc
Organization subpart
No
Enumeration date
Apr 12, 2023
Certification date
Apr 14, 2023
Last updated
Apr 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

16960 Bastanchury Rd Ste J
Yorba Linda, CA 92886-1711

Phone 714-693-1055

Mailing address

1400 N Kraemer Blvd Unit 171
Placentia, CA 92871-1408

Phone 165-734-1442

Authorized official

Gohar Khosravi
Ceo
6573414422

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