| Shadi Bahadori Rad, | |
|
1115 Sullivan, Irvine, CA 92614-4249 | |
| (310) 351-9504 | |
| Not Available |
| Full Name | Shadi Bahadori Rad |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1115 Sullivan, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689247819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Marriage & Family Therapy With Asal Larry And Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346986528 PECOS PAC ID: 1951745116 Enrollment ID: O20240215004274 |
| Mailing Address | Practice Location Address |
|---|---|
| Shadi Bahadori Rad, 1115 Sullivan, Irvine, CA 92614-4249 Ph: (310) 351-9504 | Shadi Bahadori Rad, 1115 Sullivan, Irvine, CA 92614-4249 Ph: (310) 351-9504 |
Grace Bahk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1063 Mcgaw Ave Ste 100, Irvine, CA 92614 Phone: 714-834-1111 | |
Mrs. Nadia Abou-seda, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 Business Center Dr, Irvine, CA 92612 Phone: 949-502-4721 Fax: 949-502-4725 | |
Ms. Erica Reyes Nguyen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 19262 Jamboree Rd, Irvine, CA 92612 Phone: 949-824-2343 | |
Dr. Marie G. Kerns, PSY.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 4199 Campus Dr Ste 550, Irvine, CA 92612 Phone: 949-285-5199 | |
Jessica Brito, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 19712 Macarthur Blvd Ste 110, Irvine, CA 92612 Phone: 714-592-4577 | |
John Zarate, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17982 Sky Park Cir Ste J, Irvine, CA 92614 Phone: 949-809-5793 | |
Kylie Kellas Cline, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 17752 Sky Park Cir Ste 210, Irvine, CA 92614 Phone: 714-584-9018 |