Boroujerdi-Rad, Maryam

Boroujerdi-Rad, Maryam is an individual health care provider with primary practice located at 22 Foxcrest , Irvine CA 92620-1290. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Boroujerdi-Rad, Maryam can be contacted via phone (714) 730-0623.

Contact Information

Primary practice address
22 Foxcrest Irvine CA 92620-1290
Phone: (714) 730-0623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891986329
LBN Legal business name Boroujerdi-Rad, Maryam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Aug 8th, 2007 - about 17 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.

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