| Zohreh Kermani, Psy.d. Psychologist, A Professional Corporation | |
|
1350 Columbia St Unit 800 San Diego CA 92101-3456 | |
| (619) 259-3030 | |
| Not Available |
| Full Name | Zohreh Kermani, Psy.d. Psychologist, A Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 1350 Columbia St Unit 800, San Diego, California |
| Authorized Official Name and Position | Zohreh Kermani (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6192593030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zohreh Kermani, Psy.d. Psychologist, A Professional Corporation 1350 Columbia St Unit 800 San Diego CA 92101-3456 Ph: (619) 259-3030 | Zohreh Kermani, Psy.d. Psychologist, A Professional Corporation 1350 Columbia St Unit 800 San Diego CA 92101-3456 Ph: (619) 259-3030 |
| NPI Number | 1295448066 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Medicare PECOS PAC ID | 9931574696 |
|---|---|
| Medicare Enrollment ID | O20230411001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295448066 | NPI | - | NPPES |
| 1538574645 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Zohreh Kermani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538574645 PECOS PAC ID: 2466855218 Enrollment ID: I20210730001734 |
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