Individual provider · NPI-1

Minoo Dargah

Psychologist, Clinical · Westminster, CA

NPI number1962960864
StatusActive
Last updated in NPPESMay 11, 2023

Details

NPI
1962960864
Entity type
Individual (NPI-1)
Name
Minoo Dargah
Sex
Female
Sole proprietor
No
Enumeration date
Mar 9, 2019
Certification date
May 1, 2023
Last updated
May 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSB94023198CAYes

Practice location

13731 Olive Street
Westminster, CA 92683

Phone 949-610-6263

Mailing address

4521 Campus Dr # 231
Irvine, CA 92612-2621

Phone 949-610-6263

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