| Dr Afshin Pourreza & Associates Inc | |
|
4199 Campus Dr Ste 550 Irvine CA 92612-4694 | |
| (949) 228-7374 | |
| Not Available |
| Full Name | Dr Afshin Pourreza & Associates Inc |
|---|---|
| Speciality | Counselor |
| Location | 4199 Campus Dr Ste 550, Irvine, California |
| Authorized Official Name and Position | Afshin Pourreza (OWNER) |
| Authorized Official Contact | 9492287374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Afshin Pourreza & Associates Inc 4199 Campus Dr Ste 550 Irvine CA 92612-4694 Ph: (949) 228-7374 | Dr Afshin Pourreza & Associates Inc 4199 Campus Dr Ste 550 Irvine CA 92612-4694 Ph: (949) 228-7374 |
| NPI Number | 1073186318 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Medicare PECOS PAC ID | 6103268297 |
|---|---|
| Medicare Enrollment ID | O20250501003257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073186318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Afshin Pourreza |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396089645 PECOS PAC ID: 3274053368 Enrollment ID: I20250520000662 |
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