| Mr Bahram B Shabestari, MFT LICENSED | |
|
10929 South St, 208b, Cerritos, CA 90703-5340 | |
| (562) 924-5526 | |
| (562) 924-1040 |
| Full Name | Mr Bahram B Shabestari |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 10929 South St, Cerritos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790810943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC42202 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bahram B Shabestari, MFT LICENSED 10929 South St, 208b, Cerritos, CA 90703-5340 Ph: (562) 924-5526 | Mr Bahram B Shabestari, MFT LICENSED 10929 South St, 208b, Cerritos, CA 90703-5340 Ph: (562) 924-5526 |
Scott Ryan, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10929 South St, Suite 208b, Cerritos, CA 90703 Phone: 562-924-5526 Fax: 562-924-1040 | |
Brooke Wharton, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12898 Towne Center Dr, Cerritos, CA 90703 Phone: 714-713-1986 | |
Charles Halbert, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12900 Park Plaza Dr, Cerritos, CA 90703 Phone: 562-246-3510 | |
Berlinda Lao Abrazado, Couples Therapy Medicare: Medicare Enrolled Practice Location: 19922 Gridley Rd, Cerritos, CA 90703 Phone: 562-397-2126 | |
Maria De Fatima Trucios, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10929 South St Ste 208b, Cerritos, CA 90703 Phone: 563-924-5526 | |
Mrs. Lorena Rivas-lopez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10929 South St, Suite 208b, Cerritos, CA 90703 Phone: 562-924-5526 Fax: 562-924-1040 | |
Mr. Karam Skaf, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10802 College Pl, Cerritos, CA 90703 Phone: 562-924-9581 |