Natasha Sholom Khazanov in San Francisco - Clinical
Natasha Sholom Khazanov - NPI 1790719755
Natasha Sholom Khazanov is a Clinical in San Francisco, California. Natasha Sholom Khazanov practices all healthcare services and medical treatments related to Clinical. The NPI Number for Natasha Sholom Khazanov is 1790719755. The last update date is 2007-07-08.
Natasha Sholom Khazanov's current location address is 198 Miraloma Dr, San Francisco, California. You can contact this provider via phone number 4156654490 and fax number 4156654490. The mailing address for Natasha Sholom Khazanov is 198 Miraloma Dr, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Natasha Sholom Khazanov |
|---|---|
| Address | 198 Miraloma Dr, San Francisco, California |
| Phone Number | 4156654490 |
| Fax Number | 4156654490 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1790719755 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 198 Miraloma Dr |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 941271643 |
| Phone Number | 4156654490 |
| Fax Number | 4156654490 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY14917 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Natasha Sholom Khazanov by the Centers for Medicare & Medicaid Services?
The Natasha Sholom Khazanov has been assigned the NPI (National Provider Identifier) 1790719755. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Natasha Sholom Khazanov?
The Natasha Sholom Khazanov is situated at 198 Miraloma Dr, in the city of San Francisco, state of CA, with the zip code 941271643.
What is the Natasha Sholom Khazanov's specialty and taxonomy code?
The Natasha Sholom Khazanov's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Natasha Sholom Khazanov receive its 1790719755 assignment?
The Natasha Sholom Khazanov was assigned its 1790719755 on 2006-07-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Natasha Sholom Khazanov last refreshed?
The information related to the Natasha Sholom Khazanov, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA