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 Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSB37425 | California |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1508116518 |
|---|---|
| LBN Legal business name | Ehteshamzadeh, Siamak |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2012 |
| Last updated | Apr 12th, 2025 - about last year |
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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