Aldavoud, Fazlollah

Aldavoud, Fazlollah is an individual health care provider with primary practice located at Fifth And Western California Rehabilitation Center Dept Of Corrections State Of California, Norco CA 92860. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Aldavoud, Fazlollah can be contacted via phone (951) 737-2683.

Contact Information

Primary practice address
Fifth And Western California Rehabilitation Center Dept Of Corrections State Of California Norco CA 92860
Phone: (951) 737-2683
Fax: (951) 273-2974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 23813 California
Other Service Providers / Specialist 174400000X 25147 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 16601 California

Profile Details

NPI number 1619170958
LBN Legal business name Aldavoud, Fazlollah
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jul 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers