Jalali, Azadeh
Jalali, Azadeh is an sole proprietor health care provider with primary practice located at 1950 S Sunwest Ln Ste 200 , San Bernardino CA 92408-3248. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Jalali, Azadeh can be contacted via phone (909) 252-4010.Contact Information
Primary practice address
1950 S Sunwest Ln Ste 200
San Bernardino CA 92408-3248
Phone: (909) 252-4010
Fax: (909) 252-4055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1942670518 |
|---|---|
| LBN Legal business name | Jalali, Azadeh |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2015 |
| Last updated | Jul 1st, 2022 - about 4 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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