| Iddad | |
|
15525 Pomerado Rd Ste B3 Poway CA 92064-2425 | |
| (760) 607-6463 | |
| (760) 607-3433 |
| Full Name | Iddad |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15525 Pomerado Rd Ste B3, Poway, California |
| Authorized Official Name and Position | Banafsheh Pezeshk (PRESIDENT) |
| Authorized Official Contact | 7606076463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iddad 15525 Pomerado Rd Ste B3 Poway CA 92064-2425 Ph: (760) 607-6463 | Iddad 15525 Pomerado Rd Ste B3 Poway CA 92064-2425 Ph: (760) 607-6463 |
| NPI Number | 1376065433 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376065433 | NPI | - | NPPES |
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