Ehteshamzadeh, Siamak

Ehteshamzadeh, Siamak is an individual health care provider with primary practice located at 25320 Lurin Ave , Moreno Valley CA 92551-2405. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Family is his primary health care specialty. Ehteshamzadeh, Siamak can be contacted via phone (951) 217-9363.

Contact Information

Primary practice address
25320 Lurin Ave Moreno Valley CA 92551-2405
Phone: (951) 217-9363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSB37425 California
Behavioral Health & Social Service Providers / Family 103TF0000X

Profile Details

NPI number 1508116518
LBN Legal business name Ehteshamzadeh, Siamak
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2012
Last updated Oct 27th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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