Healthcare Provider Details

I. General information

NPI: 1790245322
Provider Name (Legal Business Name): GEDIA FAREEDA RASHED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
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 NumberPSY35389
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: