Heydari, Mina

Heydari, Mina is an sole proprietor health care provider with primary practice located at 5012 Chesebro Rd Ste 200 , Agoura Hills CA 91301-2287. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Heydari, Mina can be contacted via phone (925) 282-1778.

Contact Information

Primary practice address
5012 Chesebro Rd Ste 200 Agoura Hills CA 91301-2287
Phone: (925) 282-1778
Fax: (415) 296-5299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN95147493 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95023715 California

Profile Details

NPI number 1992275762
LBN Legal business name Heydari, Mina
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2018
Last updated Jun 26th, 2024 - about 2 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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