Tavakoli, Manoucher X

Tavakoli, Manoucher X is an sole proprietor health care provider with primary practice located at 18305 Sherman Way #29, Reseda CA 91335-4425. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tavakoli, Manoucher X can be contacted via phone (818) 981-1612.

Contact Information

Primary practice address
18305 Sherman Way #29 Reseda CA 91335-4425
Phone: (818) 981-1612
Fax: (866) 656-3811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY11289 California

Profile Details

NPI number 1568572048
LBN Legal business name Tavakoli, Manoucher X
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568572048 NPPES
California Other 247514 MHN PIN #

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