| Julie Rayhanabad, Ph.d., A Psychological Corporation | |
|
14708 Pipeline Ave Ste B Chino Hills CA 91709-1296 | |
| (909) 393-8585 | |
| (909) 393-8566 |
| Full Name | Julie Rayhanabad, Ph.d., A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 14708 Pipeline Ave Ste B, Chino Hills, California |
| Authorized Official Name and Position | Julie Rayhanabad (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9092584482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Rayhanabad, Ph.d., A Psychological Corporation 3851 Katella Ave Ste 375 Los Alamitos CA 90720-3377 Ph: (909) 258-4482 | Julie Rayhanabad, Ph.d., A Psychological Corporation 14708 Pipeline Ave Ste B Chino Hills CA 91709-1296 Ph: (909) 393-8585 |
| NPI Number | 1790209906 |
|---|---|
| Provider Enumeration Date | 07/29/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 01/13/2022 |
| Medicare PECOS PAC ID | 1355615030 |
|---|---|
| Medicare Enrollment ID | O20170919001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790209906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY29047 (California) | Primary |
| Provider Name | Julie Josephine Rayhanabad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316348055 PECOS PAC ID: 3173897857 Enrollment ID: I20170919002179 |
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