Khatibloo, Shoura

Khatibloo, Shoura is an sole proprietor health care provider with primary practice located at 4199 Campus Dr Suite 300, Irvine CA 92612-4684. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Khatibloo, Shoura can be contacted via phone (949) 502-4721.

Contact Information

Primary practice address
4199 Campus Dr Suite 300 Irvine CA 92612-4684
Phone: (949) 502-4721
Fax: (949) 502-4725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1982092763
LBN Legal business name Khatibloo, Shoura
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2015
Last updated Jan 2nd, 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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