Mirzadegan, Isaac Ali

Mirzadegan, Isaac Ali is an individual health care provider with primary practice located at 10535 Hospital Way , Mather CA 95655-4200. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Mirzadegan, Isaac Ali can be contacted via phone (530) 219-6411.

Contact Information

Primary practice address
10535 Hospital Way Mather CA 95655-4200
Phone: (530) 219-6411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1245087204
LBN Legal business name Mirzadegan, Isaac Ali
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2024
Last updated May 6th, 2024 - about 7 months 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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