# E&T BEHAVIORAL ADVISORY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083983944
- **Authorized official:** MEHRAN MOTAMED M.D. (PSYCHIATRIST)
- **Authorized official phone:** (718) 551-1378

## Contact information

- **Practice address:** 950 N RAMONA BLVD, SUITE 2, SAN JACINTO, CA 92582-2567
- **Practice address phone:** (718) 551-1378
- **Practice address fax:** (951) 487-2679
- **Mailing address:** 31086 LARCHWOOD ST, MENIFEE, CA 92584-8702
- **Mailing address phone:** (718) 551-1378
- **Mailing address fax:** (718) 551-1378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A89851 | CA | Yes |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 12/09/2016