| Qazizada Foundation Llc | |
|
2854 N Santiago Blvd Ste 200 Orange CA 92867-1700 | |
| (310) 985-3845 | |
| Not Available |
| Full Name | Qazizada Foundation Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2854 N Santiago Blvd Ste 200, Orange, California |
| Authorized Official Name and Position | Wali Abdul Hanifzai (FOUNDER) |
| Authorized Official Contact | 3109853845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qazizada Foundation Llc Po Box 10913 Costa Mesa CA 92627-0913 Ph: (310) 985-3845 | Qazizada Foundation Llc 2854 N Santiago Blvd Ste 200 Orange CA 92867-1700 Ph: (310) 985-3845 |
| NPI Number | 1336767326 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 08/07/2020 |
| Certification Date | 08/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336767326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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