Shamlou, Kiyanoosh

Shamlou, Kiyanoosh is an sole proprietor health care provider with primary practice located at 4199 Campus Dr Suite 550, Irvine CA 92612-4684. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Shamlou, Kiyanoosh can be contacted via phone (714) 585-5380.

Contact Information

Primary practice address
4199 Campus Dr Suite 550 Irvine CA 92612-4684
Phone: (714) 585-5380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY26074 California
Behavioral Health & Social Service Providers / Family 103TF0000X PSY26074 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY26074 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY 26074 California

Profile Details

NPI number 1083036537
LBN Legal business name Shamlou, Kiyanoosh
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2014
Last updated Mar 25th, 2020 - about 5 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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