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NPI Code Detail

MEDICARE: AREEN BOLOUS-OWHADI

MEDICARE: AREEN BOLOUS-OWHADI
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
1101YA0400XAddiction (Substance Use Disorder) CounselorA041621021CA

General Provider Information

NPI Number : 1972047058
Entity Type Code : Individual
Provider Name (Legal Business Name) : AREEN BOLOUS-OWHADI
Provider Business Mailing Address
First Line : 2629 FOOTHILL BLVD # 184
Second Line :
City : LA CRESCENTA
State : CA
Zip : 91214-3511
Country : US
Telephone Number : 818-797-4556
Fax Number :
Provider Business Practice Location Address
First Line : 1450 N LAKE AVE STE 150
Second Line :
City : PASADENA
State : CA
Zip : 91104-2388
Country : US
Telephone Number : 626-794-1161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2016
Last Update Date : 10/21/2025

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Directions to “ AREEN BOLOUS-OWHADI ” Practice Location

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