Ehteshamzadeh, Siamak
Ehteshamzadeh, Siamak is an individual health care provider with primary practice located at 25320 Lurin Ave , Moreno Valley CA 92551-2405. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Family is his primary health care specialty. Ehteshamzadeh, Siamak can be contacted via phone (951) 217-9363.Contact Information
Primary practice address
25320 Lurin Ave
Moreno Valley CA 92551-2405
Phone: (951) 217-9363
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSB37425 | California |
Behavioral Health & Social Service Providers / Family | 103TF0000X |
Profile Details
NPI number | 1508116518 |
---|---|
LBN Legal business name | Ehteshamzadeh, Siamak |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 17th, 2012 |
Last updated | Oct 27th, 2015 - about 9 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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