Pourbastani, Tandis Kaye

Pourbastani, Tandis Kaye is an individual health care provider with primary practice located at 564 Mountain Ranch Rd , San Andreas CA 95249-9782. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pourbastani, Tandis Kaye can be contacted via phone (209) 498-2227.

Contact Information

Primary practice address
564 Mountain Ranch Rd San Andreas CA 95249-9782
Phone: (209) 498-2227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 103662 California

Profile Details

NPI number 1598356586
LBN Legal business name Pourbastani, Tandis Kaye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2021
Last updated Oct 4th, 2021 - about 3 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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