Healthcare Provider Details

I. General information

NPI: 1396651030
Provider Name (Legal Business Name): KASAMA PSYCHOLOGICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 W IMPERIAL HWY UNIT 730
BREA CA
92821-4832
US

IV. Provider business mailing address

407 W IMPERIAL HWY UNIT 730
BREA CA
92821-4832
US

V. Phone/Fax

Practice location:
  • Phone: 714-805-8593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: GEDIA FAREEDA RASHED
Title or Position: PSYCHOLOGIST
Credential: PSYD
Phone: 714-805-8593