Fazlollah Aldavoud is a Clinical in Norco, California. Fazlollah Aldavoud practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fazlollah Aldavoud is 1619170958. The last update date is 2022-07-25.
Fazlollah Aldavoud's current location address is Fifth And Western California Rehabilitation Center, Norco, California. You can contact this provider via phone number 9517372683 and fax number 9512732974. The mailing address for Fazlollah Aldavoud is Fifth And Western California Rehabilitation Center, Norco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fazlollah Aldavoud |
|---|---|
| Address | Fifth And Western California Rehabilitation Center, Norco, California |
| Phone Number | 9517372683 |
| Fax Number | 9512732974 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1619170958 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2022-07-25 |
Provider Mailing Address Detail
| Address | Fifth And Western California Rehabilitation Center |
|---|---|
| City | Norco |
| State | California (CA) |
| Post Code | 92860 |
| Phone Number | 9517372683 |
| Fax Number | 9512732974 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 16601 |
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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 Fazlollah Aldavoud's unique identification number?
The Fazlollah Aldavoud has been assigned the NPI (National Provider Identifier) Number 1619170958 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Fazlollah Aldavoud's physical address?
The Fazlollah Aldavoud is physically located at Fifth And Western California Rehabilitation Center, in the city of Norco, CA, with the postal code 92860.
What is the Fazlollah Aldavoud's area of specialization and corresponding taxonomy classification?
The Fazlollah Aldavoud's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did Fazlollah Aldavoud receive its 1619170958 assignment from the Centers for Medicare & Medicaid Services?
The Fazlollah Aldavoud was assigned its 1619170958 on 2007-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Fazlollah Aldavoud, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fazlollah Aldavoud, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-25.
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