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NPI Code Detail

MEDICARE: DR. MARIAM ESHGHI ESFAHANI PSYD

MEDICARE: DR. MARIAM ESHGHI ESFAHANI PSYD
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 Therapist49070CA

General Provider Information

NPI Number : 1568655728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIAM ESHGHI ESFAHANI PSYD
Provider Business Mailing Address
First Line : 15596 PRODUCER LN
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92649-1308
Country : US
Telephone Number : 714-891-6133
Fax Number :
Provider Business Practice Location Address
First Line : 15596 PRODUCER LN
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92649-1308
Country : US
Telephone Number : 714-891-6133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2007
Last Update Date : 05/24/2013

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