MEDICARE: Q'S MINISTRY / BHITS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP1600X	Pastoral Counselor		CA

General Provider Information

NPI Number	:	1073803524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Q'S MINISTRY / BHITS

Provider Business Mailing Address
First Line	:	10940 WILSHIRE BLVD
Second Line	:	SUITE 600
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-3915
Country	:	US
Telephone Number	:	310-443-4168
Fax Number	:

Provider Business Practice Location Address
First Line	:	10940 WILSHIRE BLVD
Second Line	:	SUITE 600
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-3915
Country	:	US
Telephone Number	:	310-443-4168
Fax Number	:

Authorized Official
Title or Position	:	PASTOR
Name	:	DR. KIUMARS LALEZARZADEH
Credential	:	M.A., PH.D.
Telephone Number	:	310-443-4168

Provider Enumeration Date	:	04/18/2011
Last Update Date	:	02/20/2014

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Directions to “Q'S MINISTRY / BHITS ” Practice Location

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