Jalali Bidgoli, Shahrzad
Jalali Bidgoli, Shahrzad is an individual health care provider with primary practice located at 812 W Town And Country Rd , Orange CA 92868-4712. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jalali Bidgoli, Shahrzad can be contacted via phone (714) 547-6494.Contact Information
Primary practice address
812 W Town And Country Rd
Orange CA 92868-4712
Phone: (714) 547-6494
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California | |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1558631747 |
---|---|
LBN Legal business name | Jalali Bidgoli, Shahrzad |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2012 |
Last updated | May 4th, 2012 - about 13 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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