Healthcare Provider Details

I. General information

NPI: 1821854373
Provider Name (Legal Business Name): THE CENTER FOR ANXIETY AND OCD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 PACIFICA STE 130
IRVINE CA
92618-7421
US

IV. Provider business mailing address

111 PACIFICA STE 130
IRVINE CA
92618-7421
US

V. Phone/Fax

Practice location:
  • Phone: 949-431-6000
  • Fax:
Mailing address:
  • Phone: 949-431-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHEVA RAJAEE
Title or Position: LMFT
Credential:
Phone: 949-431-6000