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NPI Code Detail

MEDICARE: PEGAH ZALISHAHR

MEDICARE:   PEGAH  ZALISHAHR
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
1106H00000XMarriage & Family Therapist106685CA

General Provider Information

NPI Number : 1164886719
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGAH ZALISHAHR
Provider Business Mailing Address
First Line : 2575 MCCABE WAY STE 270
Second Line :
City : IRVINE
State : CA
Zip : 92614-4298
Country : US
Telephone Number : 714-858-0682
Fax Number :
Provider Business Practice Location Address
First Line : 2575 MCCABE WAY STE 270
Second Line :
City : IRVINE
State : CA
Zip : 92614-4298
Country : US
Telephone Number : 714-858-0682
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2016
Last Update Date : 04/18/2025

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Directions to “ PEGAH ZALISHAHR ” Practice Location

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